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Why Adults Are Choosing Invisalign®

February 20th, 2019

These days, it’s become more common to see adults at our office getting their teeth straightened with Invisalign clear aligners . . . that is, if you can see them! Whether they are seeking to overcome the stigma that “braces are just for kids,” or simply want straighter teeth without a mouth full of metal, Invisalign is an effective and easy solution.

According to the American Association of Orthodontists, from 1994 to 2010 the number of adults 18 and older who request braces increased by 58 percent: from 680,000 to 1.1 million a year. Many adults enjoy how discreet the aligners are and that the user doesn’t need to avoid any foods or make dietary changes the way you would with traditional braces. Also, each treatment is unique to the patient.

With an Invisalign treatment, you can expect to enjoy the following benefits over traditional braces:

  • The total treatment time is more precise with Invisalign because your treatment is modeled by a computer. Traditional braces depend more on an estimate and aren’t as exact.
  • You’ll make fewer trips to our Brick, NJ office, since you’re able to change your trays on your own every few weeks or whatever is prescribed.
  • Without brackets to place over your teeth, there’s less risk to the health of your tooth enamel.
  • Invisalign aligners are clear and practically invisible, so most people won’t even know you’re wearing them!

If you’re interested in Invisalign as a treatment option, please let Dr. Nirschl and Dr. Reck know. We’d be happy to help you on your journey to a straighter, healthier smile!

The Start of Valentine’s Day

February 13th, 2019

Valentine’s Day, also known as Saint Valentine’s Day, has been said to originate with a Catholic priest named Valentine several thousand year ago. Valentine defied the emperor at the time by secretly marrying men and their brides after the emperor had made it illegal to marry. Emperor Claudius II did this because he wanted as many single young men to fight in his war as he could get.

Valentine disobeyed the emperor’s edict by continuing to marry couples until he was sentenced to death. Before his execution, he sent a letter to a secret love and signed it “From your Valentine.” Dr. Nirschl and Dr. Reck and our team have come up with some suggestions on how you can celebrate this Valentine’s Day, whether you have a valentine of your own or not.

Valentine's Day Ideas

  • Enjoy a tasty treat. There are plenty of options when it comes to cooking and/or baking on Valentine’s Day. Make your significant other his or her favorite meal or sweet treat, or make your own favorite dish to enjoy on this day. Oh, and be sure to make enough for leftovers!
  • Make a personalized card. Instead of buying a card from the grocery store, take the time to make your own for a loved one. People love handwritten notes, especially when it’s from someone special. If you’re single this Valentine’s Day, make a card for fellow single friend to brighten the day and remind the person that he or she is also loved.
  • Watch a movie. We all know there are plenty of romance movies out there. Put on your favorite romantic comedy, or pick up your significant other’s favorite movie to watch together. Even better, if you’re single, pick up your own favorite movies to watch to pass the time this Valentine’s Day.
  • Do nothing! We all know Valentine’s Day can sometimes get a lot of hype. If you’re worried about not making a reservation in time, don’t feel like planning an extravagant night out, or simply not in the holiday mood this year, spend your day sitting back and relaxing.

Valentine’s Day is a time to celebrate love and spend quality hours with the people you care about the most. Whether you’re in a relationship or single, take some time today to appreciate those you love in your life.

We wish you a happy Valentine’s Day celebration and look forward to seeing you at our Brick, NJ office during your next appointment.

Caring for Your Cat’s Dental Health

February 6th, 2019

While you make sure your family is getting the best care possible, with regular dental checkups and cleanings at our Brick, NJ office, there is one family member that might be hiding under the bed when it’s time for tooth care. Periodontal disease is the most common clinical condition affecting adult cats—and it is completely preventable!

Periodontal disease starts when the bacteria in your pet’s mouth form plaque. The plaque can harden into tartar, and, if plaque and tartar spread under the gum line, can be responsible for a number of serious problems. Tooth loss, tissue damage, bone loss, and infection can be the result of periodontal disease. Professional dental treatment is important if your cat is suffering from periodontal disease, and your vet can describe the options available to you.

But, like with humans, prevention is the best way to assure these problems never develop, and there are several methods for avoiding plaque and tartar build-up.

Brushing: Yes, there are toothbrushes and toothpastes specifically designed for your cat! If a toothbrush is not working for you or your pet, there are cat-sized finger brushes available as well. Daily brushing is most effective, but try for at least several times each week. The process of introducing brushing should be a slow and gentle one, and seafood and poultry flavored pastes make the process more palatable. (Human toothpaste is not good for your cat due to its abrasiveness, and swallowing the foam might pose a danger to your pet.)

Anti-plaque rinses and gels: If despite your gentle persistence your cat simply will not cooperate with brushing, there are other options! Rinses and gels containing Chlorhexidine are effective and do not usually pose a problem for pets—although they might not take to the flavor. Rinses can be squirted inside each cheek or gels can be applied to the teeth with a toothbrush or finger brush. Talk to your vet to find the safest and most effective products.

Diet: Whether they use a particular shape and texture to simulate brushing or an anti-tartar ingredient, several pet foods claim to reduce the accumulation of plaque and tartar. Your vet is the best resource for nutritional suggestions to make sure your cat’s dental and physical diet is as healthy as it can be.

Whether you try brushing, rinses, gels or a tooth-friendly diet, patience and a gentle touch are the best way to introduce dental hygiene. Talk to your vet at your cat’s next checkup, and find out what you can do to keep your feline friend healthy and happy. An ounce of prevention might be worth a pound of purr!

Whitening an Artificial Tooth

January 30th, 2019

It’s a bit of a contradiction: you are justifiably proud of your beautiful dental work, but you don’t want it to be obvious when you smile. Dental prosthetics such as veneers and crowns should blend perfectly with your natural teeth. If you have noticed your veneers are a different shade than your other teeth, or have a crown that is visibly darker than the teeth surrounding it, you are probably wondering if there is any way to lighten and whiten an artificial tooth surface. There is no one right answer, but let’s examine a few common scenarios to find the best solution for you.

If You Haven’t Started Your Dental Work and Want a Whiter Smile

If you are planning on getting a veneer or a crown, it’s best to take advantage of teeth whitening before you have the work done. Choosing a shade of bright white for your veneers and then trying to whiten your natural teeth to match it afterward is almost impossible. It’s a good idea to talk to us about whitening beforehand, and, if this is the best way to achieve the look you want, Dr. Nirschl and Dr. Reck can match the color of your new prosthetic to your newly whitened smile. The goal is to make your new veneer or crown a perfect match to your natural teeth.

If You Have Existing Veneers, Crowns, or Other Artificial Surfaces

Porcelain veneers cannot be whitened, but the good news here is that they don’t stain the way natural teeth do. Unlike our teeth, porcelain is non-porous, so it is very difficult for typical culprits such as coffee, tea, or red wine to have as much effect. Any surface stains that appear can usually be gently removed with a professional cleaning and polishing, where we will take care not to scratch the delicate surface of the veneer. Porcelain crowns and implants, like veneers, can be brightened with a professional surface cleaning, but their original color cannot be changed.

Composite veneers and composites used in dental bonding are more porous and therefore more likely to stain. They are also immune to whitening, but might respond somewhat to a careful professional polishing at our Brick, NJ office.

Finally, if the color of your existing dental prosthetics is a concern, replacement is an option we can consider together.

Whether you have existing veneers and crowns or are planning future dental work, please talk with us about achieving a seamless blend of old and new for a beautiful, natural smile. It’s a bit of a contradiction: the best work is the work no one notices!

Caring for Your Invisalign® Aligners

January 23rd, 2019

You’ve selected the Invisalign system because of the many benefits Invisalign offers: comfort, convenience, appearance, and even potentially shorter treatment time! And to add to the good news, caring for your Invisalign aligners is easy and uncomplicated. Follow these simple tips to keep your aligners in the best possible shape as you move through the stages of your treatment.

Stay Clean

  • Always brush and floss your teeth before using your aligners so that bacteria and food particles will not have a chance to collect around your teeth while you wear them.
  • When you brush your teeth, be sure to brush your aligners with a separate soft toothbrush and lukewarm water as well.
  • Rinse your aligners whenever you remove them during the day.
  • Soak your aligners as recommended. Use the Invisalign Cleaning System or ask our Brick, NJ team for other suggestions to keep your aligners free from odor and bacteria.

Stay Clear

One of the reasons you chose Invisalign is for an almost invisible appearance. Why take a chance on discoloration or scratches that will make the appliance more noticeable? Here are some common mistakes that can affect the color of your aligners:

  • If your aligner has white spots, that might mean plaque build-up. Always rinse your aligner after you remove it and clean it thoroughly night and morning.
  • Brushing with anything other than a soft brush and brushing too hard can cause scratches in the material which might be noticeable. A gentle touch will work to clean and protect your aligners.
  • Eating with Invisalign aligners can cause staining. More important, it can cause the retention of food particles in the appliance, which can lead to dental problems. Finally, aligners are not meant for chewing—they might be damaged or lose their ideal shape even with soft foods. If you are going to be eating or drinking, take your aligners out, give them a rinse, and brush before you replace them. Or stick with water! Water will have no ill effects on teeth or aligners.
  • Only soak aligners in an appropriate solution. Harsh chemicals, colored mouthwashes, and even some toothpastes can dim or discolor the clear plastic.

Talk to Dr. Nirschl and Dr. Reck about the best products to use and the best methods for taking care of your aligners. After all, making the process of improving your smile as easy and effective as possible is yet another benefit of choosing Invisalign!

Invisalign® and Invisalign Teen® Make You Smile

January 16th, 2019

Many adults and teens in our Brick, NJ office would love to have their teeth straightened but are unwilling to go through the long and often embarrassing process of wearing traditional metal braces. Invisalign® and Invisalign Teen® clear aligners offer the perfect solution: They’re the most advanced clear aligner systems in the world!

If you’re considering getting braces, there are several reasons why you might want to consider Invisalign clear aligners. Here are some of them:

  • You can eat whatever food you like, without worrying about it catching in wires or breaking brackets.
  • People won’t likely be able to tell you’re wearing them!
  • The aligners can be removed at any time.
  • You can brush and floss as you normally would, which helps to maintain better overall oral health.
  • Invisalign aligners are made of a smooth BPA-free plastic and are more comfortable to wear than traditional braces. You’ll need to visit our Brick, NJ office less often: only once every six weeks or so.
  • With Invisalign Teen, you’ll receive up to six replacements for lost or broken aligners.

Before starting treatment, you’ll have a consultation with Dr. Nirschl and Dr. Reck to see if Invisalign or Invisalign Teen treatment is right for you. After that, you’ll have X-rays, pictures, and impressions taken of your teeth.

That information will be used to make the 3D models of your teeth that let Dr. Nirschl and Dr. Reck see how they will move throughout the entire treatment and approximately how long it will take.

You’ll receive your aligners based on the treatment plan we recommend. You’ll get a new set of aligners every two weeks. All you need to do is wear your aligners 22 hours a day and you’ll be on your way to a straighter smile in no time!

Ask a member of our Brick, NJ team for more information about Invisalign clear aligners today!

Should I use mouthwash?

January 9th, 2019

Mouthwashes are commonly used as a part of a daily oral care regimen. Not only do they freshen breath, but some are capable of improving dental health too. Using a mouthwash daily can rinse fine debris away and out of reach while brushing. It can also make the teeth and gums more resilient to decay and disease.

Types of Mouthwashes

There are several types of mouthwashes available today that Dr. Nirschl and Dr. Reck and our team at Princeton Dental want you to be aware of. Some do little more than freshen breath and are known as cosmetic mouthwashes. These are ideal for quickly eliminating odors that linger after eating, drinking, or taking medication. Using a cosmetic mouthwash does not offer any health benefits.

Other mouthwashes offer more comprehensive benefits; they can potentially prevent tooth decay and gum disease. Mouthwashes that contain antimicrobial agents work by preventing the buildup of plaque that can lead to gingivitis and decay of the tooth enamel. However, it should be noted that the use of a mouthwash is never a substitute for regular brushing and flossing.

In some cases, prescription mouthwashes are necessary to treat patients with gum disease or who have undergone periodontal surgery. These specialty mouthwashes are designed specifically for the treatment of gum disease and should not be used outside of their intended use. The majority of mouthwashes require no prescription.

Tips for Choosing a Mouthwash

The choice to use a mouthwash and which one to use is between you and your dentist, depending on your individual oral health needs. If you determine that a mouthwash is right for you, look for one that contains fluoride, if possible. Fluoride provides an added layer of protection for your teeth, and helps them become more resistant to decay. As always, if you have any questions or concerns when choosing a mouthwash, please give our team at Princeton Dental a call for assistance in selecting the rinse that is best for you. Or, we invite to ask us during your next visit to our Brick, NJ office!

Tooth Protection and Winter Sports

January 2nd, 2019

Just because it’s cold out there doesn’t mean you’ll give up keeping fit and active! Winter is the season for some of our favorite team sporting activities, and when you’re donning your protective gear, don’t forget to protect your teeth as well.

  • Basketball

This sport actually tallies one of the highest counts of dental injuries. Running, jumping, and diving for the ball on an unforgiving court can lead to tooth and jaw injuries.  And for every ten men on the floor, it seems like there at least 50 flailing elbows in the paint.

  • Hockey

Notorious for the toll it takes on teeth, hockey is a game of sticks, ice, and whizzing pucks. And when your sport’s penalties include the terms hooking, slashing, and tripping, the more protection, the better.

  • Skiing

When you are flying down the slopes, combining powdery snow and speed, mouth protection is a good idea. This also applies to snowboarding and other snow sports.

  • Wrestling

Grappling and pinning in close quarters can lead to unintended injuries after accidental contact with the mat or your opponent.

Different uniforms, different equipment, and different playing fields, but all these sports have one thing in common—the easiest way to protect your teeth while playing them is with a mouth guard.

Mouthguards generally come in three forms:

  • Over the counter, ready-made appliances. These are available in drugstores and sporting goods stores, but might not be a comfortable fit as they are pre-formed sizes.
  • The “boil-and-bite” option is a mouthguard form placed in hot water. You then bite down to shape it to your mouth and teeth.
  • Custom mouthguards can be fabricated just for you through our Brick, NJ office. These appliances are designed to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, you definitely need a custom mouthguard to prevent an injury to your mouth or braces caused by an ill-fitting appliance.

Whether you play on a team or pursue individual athletic activities, keeping safe as you keep fit is your first priority. We would be happy to discuss your mouthguard options for any sport, any time of year.

Things You Probably Didn’t Know About New Year's Eve

December 26th, 2018

It’s no secret that New Year’s Eve is one of the most widely celebrated holidays in the world. Dr. Nirschl and Dr. Reck and our team love it too. It’s a fresh start, another year of surviving the crazy world we live in, a time to refocus on the things we want for ourselves, a celebration with those we love … the list goes on.

Dozens of countries welcome the New Year with over-the-top parties and celebrations. Because it’s a public holiday, many offices, businesses, and schools close for the day. As you think about your plans for this holiday, here are some fun facts about New Year’s that might surprise you!

Can you guess what the most common New Year’s resolutions are? You may already have one or two of these on your own personal list. The top five New Year’s resolutions are: to quit smoking, get a new job, lose weight, increase personal savings, and return to school. Just remember that coming up with a concrete plan to reach your goals is the surest way to achieve your resolutions!

About one million people brave the cold to watch the New Year’s Eve ball drop in New York City’s Times Square in person. Yes, that’s one million! This event is one of the most iconic celebrations in the world. People travel from all over just to experience it, but you can watch from the warmth and comfort of your living room.

If you’re not a fan of cabbage, collard greens, black-eyed peas, or ham hocks, you might want to revise your tastes. All these foods are all regarded as lucky fare on New Year’s Day. Unless you’re allergic, of course!

For many people in Mexico and Latin America, eating 12 grapes at midnight is a tradition that brings good luck in the 12 coming months. Most people even make a wish per grape!

Whether you’re celebrating in Brick, NJ or traveling elsewhere to observe the holiday, New Year’s Eve is a time to enjoy the company of your friends and family. Don’t forget to send warm wishes to your loved ones, and snag a midnight kiss with that special someone if you can!

Is soda really bad for your teeth?

December 19th, 2018

You take a sip of soda – and someone remarks, “That’s going to ruin your teeth!”

Is that true? Is sweet soda the enemy of a healthy smile? The answer, unfortunately, is that one glass might not hurt your teeth, but drinking soda regularly can do some real damage.

Sodas are one of America’s favorite drinks. The American Academy of Cosmetic Dentistry says about half of us drink soda regularly, averaging 2.6 glasses each day.

That’s a lot of soda considering the drinks are acidic, full of sugar, and have little or no nutritional value. It may surprise you to learn that it’s actually the acidity of cola, not the sugar, which poses the biggest threat to teeth. Over time, repeated exposure to soda wears down tooth enamel, leaving teeth stained and less able to prevent cavities.

As enamel wears away, teeth can become discolored, take on a rough texture, and become highly sensitive to hot or cold. Your teeth may start to tingle, and brushing or flossing can cause pain. If not checked by dental care, teeth may start to erode, becoming thinner and more likely to crack. It’s a pretty high price to pay for a glass of soda.

Of course, sodas are not the only culprits in tooth erosion. Coffee, wine, and some fruit juices are also acidic, though these drinks tend to have less acidity that a typical soda.

So what can you do to protect your teeth?

1. Cut back – way back – on acidic drinks.

2. Add more water to your daily diet in place of sodas.

3. Use a straw when you drink.

4. Don’t confuse diet soda with a healthy alternative. Diet drinks are just as acidic as regular sodas.

5. Rinse your mouth with water after drinking soda. The rinse may remove some acid from your teeth, although abstaining from the soda would do more good.

6. Hold off on brushing your teeth after drinking soda. Brushing too hard can weaken enamel that is already covered in acid.

7. Pay attention to your teeth, both how they look and how they feel. Let Dr. Nirschl and Dr. Reck know if you see signs of discoloration or erosion, or feel tingling. Make an appointment at our Brick, NJ office if you feel tooth or gum pain when eating or drinking.

Caring for Your Smile after Invisalign® Treatment

December 12th, 2018

You went through a lot of effort and work to achieve your perfect smile. You wore your Invisalign aligner trays, brushed and flossed diligently, and now your treatment is done! What happens now?

In order to keep your teeth healthy and beautiful, you should keep several practices in play.

Retainers

Although everyone’s needs are different, many patients require a retainer after Invisalign treatment. If a retainer is recommended by Dr. Nirschl and Dr. Reck, use it as directed. Not wearing retainers could result in shifting teeth and potentially ruin your results.

It’s also recommended that you avoid hard, crunchy foods for the first few weeks as your teeth adjust. For younger patients, retainers are normally worn until the wisdom teeth come in or are extracted.

Brushing and Flossing

It should come as no surprise that flossing should still be done every day to remove plaque, which can develop into tartar or calculus. The build-up can lead to gingivitis and gum disease.

Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm saltwater rinse may relieve discomfort.

Because your teeth have been protected by your Invisalign aligners and are now fully exposed, they may be more sensitive the first few weeks after treatment. If that’s the case, we can recommend a sensitive toothpaste to relieve your discomfort. If your teeth are stained, a professional whitening treatment may be considered.

Regular Dental Checkups

Regular dental exams ensure your teeth stay healthy for life. Professional cleanings, X-rays, and cavity treatment can be addressed by staying on top of your routine checkups.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Brick, NJ team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

What's the best dental floss?

December 5th, 2018

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Dr. Nirschl and Dr. Reck and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Brick, NJ office.

The Effects of Biting Your Nails

November 28th, 2018

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.

Here are four dental and general reasons to stop biting your nails:

1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.

2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.

3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.

4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.

Dr. Nirschl and Dr. Reck and our team recommend the following to kick your nail biting habit:

  • Keep your nails trimmed short; you’ll have less of a nail to bite.
  • Coat your nails with a bitter-tasting nail polish.
  • Ask us about obtaining a mouthguard, which can help prevent nail biting.
  • Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
  • Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
  • If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Dr. Nirschl and Dr. Reck and our team for a recommendation.

Aging and Dental Health

November 21st, 2018

As you grow older, your mind may be preoccupied with the health of your bones, heart, or brain. However, our team at Princeton Dental will tell you that keeping your teeth healthy is an equally important part of the aging process. Older adults are at increased risk for a variety of oral health conditions, which makes it essential for you to speak with your dentist to create a prevention plan that’s best for you.

Oral health conditions associated with aging

Just as the rest of your body continues to change as you age, your mouth changes, too. Certain conditions become more likely to develop as you reach older adulthood, including:

  • Dry mouth. Although your salivary glands continue to produce saliva as you get older, medications and chronic health problems often cause dry mouth.
  • Root decay. Your teeth have lasted you a lifetime, but improper nutrition or cleaning may lead to decay at the roots of your teeth.
  • Diminished sense of taste. Your eyesight and hearing aren’t the only senses affected by aging. The ability to taste naturally diminishes over the course of older adulthood.
  • Tissue inflammation. Are your gums tender, bleeding, or inflamed? Tissue inflammation may indicate gum disease or may be a consequence of wearing dentures that don’t fit well.
  • Oral cancer. Risk for most cancers increases with age, and oral cancer is no exception. Older adults are at increased risk for oral cancer compared to younger individuals.

Ways you can prevent dental problems

Fortunately, many age-related oral health problems are preventable. Begin by improving your diet to include plenty of fruits and vegetables. Choosing water over coffee or soda will keep your teeth whiter and cavity-free. Also remember to practice good brushing habits to prevent cavities and gum disease.

Visiting the dentist at least twice a year is vitally important when you reach older adulthood. Your dentist is familiar with your oral health and may be the first person to notice a sore, discolored patch, inflammation, or other abnormality that indicates oral cancer or gum disease.

If you’re experiencing any problems with dental health, let your dentist know immediately. Together, you can troubleshoot solutions and create a plan that keeps your mouth and gums healthy.

For more information, or to schedule an appointment with Dr. Nirschl and Dr. Reck, please give us a call at our convenient Brick, NJ office!

Don’t procrastinate about dental work!

November 14th, 2018

When you have dental issues or just need routine care, you may try to put off making an appointment at Princeton Dental. Common reasons for procrastination are not having the time or fear of pain. Avoiding Dr. Nirschl and Dr. Reck is not a good idea, though. Putting off dental care can turn small problems into large ones. Short appointments turn into long ones with significantly more work and expense.

What happens when you wait?

The small cavity that could have been filled easily has turned into a large cavity. The larger the cavity, the more work required to fill it. However, this is only a minor problem compared to more advanced issues. The minor toothache you are trying to ignore could be a small fracture or an abscess. Small fractures can sometimes be repaired, but if you wait and the fracture increases, you may need to get a crown.

An abscess can be treated in the early stages. Ignoring an abscessed tooth may lead to root damage and the need for a root canal. Infection can spread to other teeth, which multiplies the damage. These treatments will require more of your time than you would have spent taking care of the problem early.

Perhaps you are just putting off a routine cleaning. Even if you brush, rinse, and floss the way you are supposed to, you need a professional cleaning at Princeton Dental. Plaque that is left behind hardens into calculus or tartar that you cannot remove by yourself. A build-up of calculus can also lead to gum disease.

Unfortunately, avoiding appointments due to a lack of time may mean that you have to give up substantially more time later on. You also can experience needless pain from tooth problems. It’s always best to visit Dr. Nirschl and Dr. Reck for regularly scheduled cleanings and exams to ensure your smile stays healthy and beautiful.

Xerostomia: What does that mean anyway?

November 7th, 2018

Does your mouth always feel like it’s dry? If it does you may be suffering from xerostomia. Xerostomia is defined as dry mouth resulting from reduced or absent saliva flow. There are various medical conditions that can cause this type of dry mouth, which you can ask more questions next time you visit us at Princeton Dental.

Xerostomia can factor into both minor and more serious health problems. It can affect the ability to eat and enjoy food and it can jeopardize one’s dental health. Some of the more common symptoms can include sore throat, burning sensation in the oral cavity or tongue, and difficulty swallowing.

One of the more serious problems associated with dry mouth is an increased risk of tooth decay. Decrease in saliva causes more plaque to form and there is less saliva to act as a buffer to the things we eat and drink. Less saliva also means more food debris is retained in the mouth. These things can lead to an increase in tooth decay.

So, what causes xerostomia?

There are several things that may cause xerostomia. Among the biggest culprits are prescription medications. Some examples are antihistamines, antidepressants, anti-hypertensives, anti-anxiety agents, anti-diarrheals, bronchodilators, and muscle relaxers.

Certain diseases can also cause dry mouth. The more common ones include rheumatoid arthritis, lupus, diabetes, hypertension, and thyroid disease. Xerostomia is also common in patients being treated for cancer. Head and neck radiation as well as certain chemotherapy drugs can cause severe dry mouth.

What should you do if you are experiencing dry mouth symptoms? First make sure to hydrate with plenty of water. If you are taking medications that cause xerostomia, make sure to drink water before taking the medication as well as a full glass of water with the medication. Be diligent with brushing and flossing and discuss your condition at your next appointment with Dr. Nirschl and Dr. Reck. We can recommend specific products to help moisten the oral cavity and reduce your symptoms such as saliva substitutes, xylitol products, and certain toothpastes. Another option may be a prescription home fluoride treatment to help prevent new cavities. You may want to try gum or candies to stimulate saliva flow but make sure they are sugar free! Avoid food and beverages that dehydrate such as caffeine and alcohol.

Xerostomia is a common problem that is currently on the rise. Our team can help you to reduce any symptoms and improve your comfort while living with a dry mouth. Contact our Brick, NJ office today!

Tooth Discoloration: Common causes and what you can do to stop it

October 31st, 2018

Looking back at childhood photos, you may notice picture after picture of yourself with a mouthful of shiny white teeth. When you look in the mirror today, you wonder what happened to that beautiful smile. Many adults struggle with tooth discoloration and find it embarrassing to show off their teeth in a smile. Once you identify the cause of your tooth discoloration, there are treatment options at Princeton Dental that can restore your teeth and your confidence.

What Causes Tooth Discoloration?

There are a host of factors that may cause your teeth to discolor. Some are directly under your control, and others may not be preventable. Here is a list of common reasons that teeth become discolored.

  • Genetics: Much of your dental health is determined by genetic factors beyond your control. Some people naturally have thinner enamel or discolored teeth.
  • Medications: Several medications lead to tooth discoloration as a side effect. If you received the common antibiotics doxycycline or tetracycline as a child, your teeth may have discolored as a consequence. Antihistamines, high blood pressure medications, and antipsychotic drugs can also discolor teeth. If you think a medication may be leading to tooth discoloration, talk to Dr. Nirschl and Dr. Reck. Never discontinue the use of a medication without consulting your doctor, however.
  • Medical Conditions: Genetic conditions such as amelogenesis or dentinogenesis cause improper development of the enamel, and can lead to yellowed, discolored teeth.
  • Poor Dental Hygiene: Failing to brush your teeth at least twice a day or regularly floss may lead to tooth decay and discoloration.
  • Foods and Tobacco: Consumption of certain foods, including coffee, tea, wine, soda, apples, or potatoes, can cause tooth discoloration. Tobacco use also causes teeth to turn yellow or brown.

Treatments for Tooth Discoloration

There are a variety of treatments available to individuals with discolored teeth. One of the easiest ways to reduce tooth discoloration is through prevention. Avoid drinking red wine, soda, or coffee and stop using tobacco products. If you drink beverages that tend to leave stains, brush your teeth immediately or swish with water to reduce staining.

After determining the cause of tooth discoloration, Dr. Nirschl and Dr. Reck can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our Brick, NJ office would be more effective. When whitening agents do not help, bondings or veneers are among the alternative solutions for tooth discoloration.

If you are worried about your teeth becoming yellow or brown, think carefully about your diet and medication use. Talk to Dr. Nirschl and Dr. Reck to identify substances that may be causing the problem. After treatment for tooth discoloration, you will have a beautiful white smile you can be proud to show off.

Toothaches and Abscesses

October 24th, 2018

With Dr. Nirschl and Dr. Reck, emergency dental care is only a phone call away. Dental problems are uncomfortable and should always be treated as soon as possible to prevent them from getting worse.

Whether it’s an abscess or a toothache that you believe might be something more, it’s vital to pay attention to your body and give it the attention it needs. Below, you’ll find some more information about abscesses and toothaches that may clarify any doubts about the differences, whether you may be suffering from one of them … and what to do if you are.

Abscesses

What’s an abscess? It’s a bacterial infection: an accumulation of pus that can form inside a tooth or the gums and cause pain and swelling. It generally develops as a result of poor oral hygiene.

Bacteria lives in plaque so if plaque isn’t removed on a regular basis, it can build up and encourage bacteria to spread, which could ultimately result in an abscess. Antibiotics aren’t always needed for treatment, you should get this situation checked out as soon as possible. If left untreated, oral infections can lead to bigger complications.

Toothaches

Toothaches can happen for a number of reasons. The simplest, most common one is a piece of food that is stuck in your gum, which can cause a bit of swelling and discomfort.

To get rid of it, you can rinse your mouth with hot water and salt, every morning and evening. This helps kill bacteria and bring down the swelling. You can also gently floss the area to remove whatever is stuck there. If you experience bleeding while you’re flossing, and hot water with salt proves ineffective, it may be time to schedule an appointment.

If you’re especially sensitive to cold and heat, you may often experience toothaches. If this is the case, we can recommend a pain reliever to reduce the discomfort, but it’s worthwhile to come in for a check-up anyway to make sure the problem doesn’t get worse.

The last (and most obvious) reason for a toothache is a cavity. Depending on how bad it is, we might fill it or place a crown. The tricky thing with cavities is that sometimes you may not know you have one at all, especially when they’re just starting out. The best way to prevent them from getting worse and creating toothaches is by keeping up with your regular dental cleanings.

At Princeton Dental, we’re here to assist you through any and all your dental emergencies! We encourage you to make an appointment at our Brick, NJ office if you notice any signs of discomfort, so we can provide the most efficient care for you.

Dental Emergencies in Children

October 17th, 2018

Unfortunately, dental emergencies can sometimes be unavoidable among young children. The good news is Dr. Nirschl and Dr. Reck can help you prepare in case you and your child find yourselves in any of the following situations.

Teething

Starting at about four months and lasting up to three years, your son or daughter may experience teething pain. It’s common for teething children to grow irritable and become prone to drooling due to tender gums. Give your child a cold teething ring or rub his or her gums with your finger to help relieve the discomfort.

Loss of Teeth

If a baby tooth is knocked out in an accident, bring your child to our Brick, NJ office to make sure damage hasn’t occurred in the mouth. Permanent teeth can sometimes grow in before baby teeth have fallen out. In this situation, Dr. Nirschl and Dr. Reck should examine your child to make sure teeth are growing in properly. This can prevent serious issues from arising later in adulthood.

Gum Issues

Bleeding gums could mean several things. They may be an early sign of periodontal disease, which results from poor oral hygiene. Gums may also bleed if a youngster is brushing too hard or has suffered an injury to the gum tissue.

Rinse your child’s mouth with warm salt water and apply pressure to the area if bleeding continues. Don’t hesitate to contact our Brick, NJ office if you are concerned so we can schedule an appointment.

As a parent, you can provide the best education for your children on proper oral hygiene habits. If you some coaching, ask Dr. Nirschl and Dr. Reck for tips during your next appointment.

Fluorosis: What is it?

October 10th, 2018

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

  • Fluoridated mouth rinse, which young children may swallow
  • Bottled water which is not tested for fluoride content
  • Inappropriate use of fluoride supplements
  • Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. In fact, kids should use no more than a pea-sized amount of fluoride toothpaste when brushing, and children under the age of two shouldn’t use fluoride toothpaste at all.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Dr. Nirschl and Dr. Reck.

How can parents help prevent tooth decay?

October 3rd, 2018

Children are born with a set of primary teeth – 20 to be exact – that help them learn to chew and speak, and develop enough space in the jaw for the permanent teeth that will appear several years later. Kids are especially susceptible to decay, which can cause pain and tooth loss – a problem that could interfere with oral development. As a parent, it is important that you take proactive steps to keep your child’s teeth as healthy as possible.

Bottles and “Sippie Cups”

One of the biggest culprits of childhood tooth decay is poor diet. This begins as early as a few months old, when children are often allowed to go to bed with bottles and “sippie cups” of milk or juice. The sugars in these beverages – even natural sugars – can steadily decay the teeth.

Dr. Nirschl and Dr. Reck and our staff suggest serving children milk and juice only at meal times, and limiting juice intake to just a few ounces per day. If your child becomes thirsty between meals or likes to go to bed with a bottle, serve water during these times.

Hygiene

As a parent, you can establish healthy dental habits long before your child’s first tooth erupts. Start by gently wiping your baby’s gums with a clean wash cloth during the first months of life. By age one, graduate to an appropriately sized toothbrush with fluoridated toothpaste, and brush at least twice a day.

Dental Visits

Dental visits should start young and continue on a regular basis throughout your child's life. Dr. Nirschl and Dr. Reck and our staff recommend parents bring their children to Princeton Dental for the first time no later than the child’s first birthday. Initial visits concentrate on parental education, while later visits may include thorough cleanings and fluoride treatments as your child grows.

For more information about keeping your child’s teeth cavity-free, contact our Brick, NJ office to schedule a dental consultation and checkup.

Diabetes and Dental Care

September 26th, 2018

When most people think of complications of diabetes, they think of an increased risk of blindness, limb amputation, heart disease, and neuropathy. However, Dr. Nirschl and Dr. Reck and our team want you to know that emerging research is revealing a possible connection between uncontrolled diabetes and dental problems. Whether you have type 2 diabetes or type 1, uncontrolled high blood glucose level increases the risk of certain oral health conditions, including:

  • Cavities
  • Tooth decay
  • Gingivitis (early gum disease)
  • Periodontal disease (advanced gum disease)

Diabetes and proper dental care

If you have diabetes, it is more important than ever to take your dental care seriously and practice excellent oral hygiene. These recommendations will help:

  1. Manage your diabetes. First and foremost, it is vital to control your high blood sugar in accordance with your physician’s instructions — not only for the sake of your oral health, but your overall health. With properly controlled blood sugar, you reduce your risk of developing gingivitis and other oral health issues.
  2. Practice good at-home oral hygiene. This means brushing at least twice a day AND flossing. At a minimum, brush your teeth in the morning and at night, but after meals and snacks if you can. Use a soft toothbrush to avoid injuring your gums. Don’t neglect flossing, because it helps to remove plaque below the gumline and between teeth.
  3. Visit the dentist regularly. While it is important to see the dentist every six months even if you don’t have diabetes, it is even more crucial to have a professional teeth cleaning and dental exam if you have the disease. As dental professionals, our team at Princeton Dental is able to detect early dental conditions before they develop into something more serious and costly.
  4. Tell your dentist that you have diabetes. If you were recently diagnosed with diabetes, be sure to let us know as soon as possible, and remind us at every appointment.
  5. Be conscientious about examining your own gums and teeth. By looking for early signs of gum disease, which can include bleeding gums, irritated gums, gums that are red (versus a healthy pink), or swelling, we can get started on treatment right away.

Managing diabetes takes effort, not only in watching your diet, exercising, monitoring your blood sugar levels, and taking your medication, but obtaining proper dental care.

To learn more about the link between diabetes and oral health, or to schedule an appointment with Dr. Nirschl and Dr. Reck, please give us a call at our convenient Brick, NJ office!

What exactly is a cavity?

September 19th, 2018

We all know how discouraging can be it to hear you have a dental cavity. Knowing how cavities form can help you prevent them from popping up in your mouth. If you want to avoid a trip to see Dr. Nirschl and Dr. Reck, pay attention to the measures you can take to prevent bothersome cavities.

Did you know that cavities are properly a symptom of a disease called caries? When you have caries, the number of bad bacteria in your mouth increases, which causes an acceleration in tooth decay. Caries are caused by a pH imbalance in your mouth that creates problems with the biofilm on the teeth.

When there are long periods of low pH balance in the mouth, this creates a breeding ground for bacteria. When you get caries, this type of bacteria thrives in an acidic environment.

Depending on which foods and beverages you consume, the biofilm pH in your mouth will vary. The lower the pH number, the higher the acidity. When your intake contains mostly acidic foods that sit on your teeth, cavities begin to form. Water has a neutral pH, which makes it a good tool to promote a healthy pH balance in your mouth.

A healthy pH balance in your mouth will prevent cavities from forming over time. Mouth breathing and specific medications may also be factors that contribute to the development of caries when saliva flow decreases. Without saliva flow to act as a buffer against acid, bacteria has a higher chance of growing.

Don’t forget: Getting cavities isn’t only about eating too many sweets. It’s also about managing the pH levels in your mouth and preventing bad bacteria from growing on your teeth.

If you think you might have a cavity forming in your mouth, schedule an appointment at our Brick, NJ office. It’s worthwhile to treat cavities early and avoid extensive procedures such as root canals from becoming necessary.

Keep up with brushing, flossing, and rinsing with mouthwash so you can prevent cavities over time.

Make Your Smile Dazzling For Your Wedding!

September 12th, 2018

Planning a wedding can be a highly stressful time. Dr. Nirschl and Dr. Reck and our team want to support you in this process by helping you achieve a beautiful, bright smile. Wedding days entail a lot of photographs that will last a lifetime. We know how crucial it can be that you have a smile that makes you feel confident throughout this memorable day.

Whether you’re the bride or groom, a member of the wedding party, or just a guest, a teeth-whitening treatment from Dr. Nirschl and Dr. Reck can give you extra confidence. Even when you’ve made the proper effort to keep up your oral health routine, staining still can appear on your teeth from foods and beverages over time. You can do several things to make sure your smile is in top shape before a wedding.

Our in-office whitening treatment is a good option if you’re looking for an investment that can last. If you’ve tried whitening kits on your own, you may have noticed they have to be used frequently to maintain the bright smile you desire.

Professional whitening treatments done by Princeton Dental are quite comfortable and have long-lasting effects. You can also use whitening toothpaste and mouthwash to keep your teeth bright between in-office whitening treatments.

Our staff can also provide helpful advice on how to avoid staining between your whitening treatment and the big day. If you’re concerned that you may have to hold back your smile on your wedding day or some other pending event, contact our Brick, NJ office and ask about our whitening treatment options.

Top Five Best Foods for Oral Health

September 5th, 2018

Some foods are just terrible for your teeth — think cookies and candy bars — but there are certain foods that are beneficial to your oral health. Below, Dr. Nirschl and Dr. Reck and our team have covered five of the top foods to keep your teeth and gums healthy!

1. Crispy, low-acid fruits and vegetables: Fruits like apples and vegetables such as carrots and celery act like “natural toothbrushes,” helping to clear plaque from your teeth and freshen your breath.

2. Kiwis: These little green superstars are packed with vitamin C which is essential for gum health. The collagen in your gums is strengthened when you consume foods that are high in vitamin C, like kiwis, thus helping to prevent periodontal problems.

3. Raw onions: Onions have long been studied for their antimicrobial, antibacterial, and antioxidant properties. Proliferation of bacteria is what leads to tooth decay and cavities. By including raw onions in your diet, you'll be doing your part to wipe out those little microbes before they can multiply!

4. Shiitake Mushrooms: A specific compound in shiitake mushrooms, lentinan, has been shown to have antibacterial properties that target the microbes that cause cavities while leaving other beneficial bacteria alone. It may also help prevent gingivitis, or inflammation of the gums.

5. Green Tea: Often lauded for its high antioxidant content and many health benefits, it turns out green tea also benefits your oral health! A Japanese study found men who drank green tea on a regular basis had a lower occurrence of periodontal disease compared to men who drank green tea infrequently. It's believed this is due to the catechins in green tea, a type of flavonoid that may help protect you from free radical damage, but more research needs to be done. Either way, drink up for your overall health, as well as your teeth!

If you have any questions about your oral health, or are looking for even more oral health tips, contact our Brick, NJ office!

Tips for Lifelong Teeth Whitening

August 29th, 2018

Over time, everyone’s teeth can naturally become dull, due to aging and consumption of staining foods such as chocolate and coffee. The good news is that teeth-whitening treatments can help you maintain white teeth that last a lifetime.

Get Regular Treatments

Regular treatments at Princeton Dental are necessary to keep your teeth white for life, since whitening treatments are only temporary. Bleaching too frequently, however, can wear away your tooth enamel.

The effects of in-office bleaching are safe and can last for several months to a year. You may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. As far as day to day, whitening toothpastes are safe to use on a daily basis. The American Dental Association suggests you ask your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Everyone’s teeth are different and, according to the American Dental Association, not all smiles can be turned bright white. Teeth can naturally be a light yellowish color that responds well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Results for brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Good hygiene is imperative for teeth-whitening efforts. Visible fillings, implants, or bridges that are metallic can be visible against the white color you desire. These treatments can be prevented by maintaining a good oral hygiene routine.

In addition to brushing your teeth twice a day to remove dirt and potential staining agents, keep the following tips in mind:

  • Floss every day
  • Visit our Brick, NJ office every six months
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages, especially between meals

 

Aging and Oral Health

August 22nd, 2018

As you age, it becomes even more important to take good care of your teeth and dental health. According to the Centers for Disease Control and Prevention, approximately one-fourth of adults age 65 and older have no remaining teeth. What's more, nearly one-third of older adults have untreated tooth decay.

Oral health, regardless of age, is crucial to overall good health. Ideally, we all want to keep your natural teeth, but whether you're caring for natural teeth or dentures, advancing age may put older adults at risk for a number of oral health problems, including:

  • Dry mouth
  • Diminished sense of taste
  • Root decay
  • Gum disease
  • Uneven jawbone caused by tooth loss
  • Denture-induced tissue inflammation
  • Overgrowth of fungus in the mouth
  • Attrition (loss of teeth structure by mechanical forces)
  • Oral cancer

These conditions may not be diagnosed until it is too late. If you want to feel good, stay healthy, and look great throughout life, you might be surprised what a difference a healthy mouth makes.

Here are some tips for maintaining and improving your oral health as you become older:

  • Brush twice a day with a toothbrush with soft bristles. You may also benefit from using an electric toothbrush.
  • Clean between your teeth once a day with floss or another interdental cleaner.
  • If you wear full or partial dentures, remember to clean them on a daily basis. Take your dentures out of your mouth for at least four hours every day. It’s best to remove them at night.
  • Drink tap water. Since most contains fluoride, it helps prevent tooth decay no matter how old you are.
  • Quit smoking. Besides putting you at greater risk for lung and other cancers, smoking increases problems with gum disease, tooth decay, and tooth loss.
  • Visit Princeton Dental regularly for a complete dental checkup.

If you have any questions about keeping up with your oral hygiene at home, please give us a call!

Solutions for Dry Mouth (Xerostomia)

August 15th, 2018

Dry mouth, or xerostomia, is a common side effect of many medications. It can also be a side effect of cancer treatments, or the result of certain auto-immune diseases. Dr. Nirschl and Dr. Reck and our team at Princeton Dental will tell you that for most people, discontinuing their medication isn’t an option. The solution is two-fold: find ways to increase saliva production and eliminate specific things that are likely to increase dryness in the mouth.

Lack of saliva creates a situation in the mouth that allows harmful organisms such as yeast and bacteria to thrive. It may also make it difficult to swallow food, create a burning feeling in your mouth, or cause bad breath, among other problems.

Medications that are known to cause dry mouth include:

  • Anti-depressant drugs
  • Anti-anxiety medications
  • Drugs for lowering blood pressure
  • Allergy and cold medications — antihistamines and decongestants
  • Chemotherapy drugs
  • Medications to alleviate pain
  • Drugs used in the treatment of Parkinson’s disease

Saliva helps people digest their food. It also functions as a natural mouth cleanser. Xerostomia increases the risk you will develop gum disease or suffer from tooth decay.

Solutions for dry mouth

  • Carry water wherever you go, and make a point of taking regular sips.
  • Avoid oral rinses that contain alcohol or peroxide.
  • Chew sugarless gum or suck on sugarless hard candies that contain xylitol.
  • Limit your consumption of caffeine, carbonated beverages (including seltzer and sparkling waters), and alcoholic beverages.
  • Brush your teeth at least twice a day, and use dental floss or other inter-dental products to remove food particles that get stuck between your teeth.
  • Look for oral rinses and other oral hygiene products that bear the American Dental Association (ADA) Seal of Approval.
  • Brush your teeth and use oral rinses that contain xylitol. Certain gels and oral sprays are equally helpful. Biotene is one over-the-counter brand that makes products designed to treat dry mouth.
  • Make sure you get your teeth checked and cleaned twice a year. Dr. Nirschl and Dr. Reck will be able to examine your mouth for problems and treat them before they turn into something more serious.

You may not be able to solve your dry mouth problem altogether, but you’ll be able to deal with it by following these recommendations. You’ll be able to increase saliva production while reducing your risk of more serious dental problems. To learn more about preventing dry mouth, or to schedule an appointment with Dr. Nirschl and Dr. Reck, please give us a call at our convenient Brick, NJ office!

Nitrous Oxide Sedation

August 8th, 2018

Some patients may require nitrous oxide to remove pain or anxiety during dental treatments. If you desire any form of dental treatment at our Brick, NJ office, Dr. Nirschl and Dr. Reck may administer nitrous oxide for its anesthetic/analgesic properties.

Commonly known as laughing gas, nitrous oxide is a gaseous sedative that’s inhaled through a mask over the nose. It was first used in the mid 1800s when practitioners didn’t know they should mix oxygen with the nitrous oxide, which wasn’t healthy alone.

These days, nitrous oxide is administered with at least a 30% oxygen mix, which makes it safe for any dental care.

Some of the effects you may experience while you’re sedated include:

  • Lightheadedness, and tingling in the arms and legs, followed by a warm or comforting sensation
  • A euphoric feeling or a sensation that you are floating
  • Inability to keep your eyes open, so it feels as if you’re asleep

The percentage of nitrous oxide can be easily adjusted if necessary. Let Dr. Nirschl and Dr. Reck know right away if you feel uncomfortable or sick. The effects wear off quickly after you begin to breathe regular air following your treatment.

If you still have concerns about nitrous oxide, feel free to call our office about it. Our staff can go over other options for sedation and select the best one for you.

Can my child really avoid tooth decay?

August 1st, 2018

Great question! Yes, in fact, tooth decay is preventable! Decay, which is caused by sugars left in your child’s mouth, can turn into an acid, which in turn can break down his or her teeth. Children are at high risk for tooth decay for a simple reason: many children and adolescents tend to be lax in their oral hygiene habits.

So, how can your child prevent tooth decay?

  • Start early. After the age of two, brush your child’s teeth with fluoride toothpaste twice a day. And, if possible, clean between the teeth with dental floss at least once a day, preferably before they go to bed.
  • Don’t allow your little ones to eat after cleaning teeth at bedtime, as salivary flow decreases while they sleep and their teeth become vulnerable to cavities.
  • Do not allow your little ones to nibble food or sip drinks continuously, and keep in mind that a low-sugar diet also helps keep tooth decay at bay. Allow time between meals for saliva to neutralize acids and repair the teeth.
  • Drinking water frequently throughout the day can also reduce the possibility of new cavities forming.
  • Dental sealants can also protect your children’s teeth from cavities. Sealants, which are applied to the chewing surfaces of molars, act as a shield between the tooth and harmful bacteria.

Finally, make sure your child visits Princeton Dental approximately every six months for a checkup and routine cleaning! Please give us a call at our Brick, NJ office.

Are you at risk for sleep apnea?

July 25th, 2018

If you are one of the more than 12 million North Americans who suffers from sleep apnea, Dr. Nirschl and Dr. Reck and our team want you to know we can help. Sleep apnea, a disorder that causes frequent disruption to your body’s sleep patterns, is also potentially dangerous, as it causes abnormal pauses in breathing or very shallow breathing during the night.

For those who suffer from sleep apnea, it may seem impossible to wake up feeling rested and energized. You may, for example, sleep for eight hours, but your body might have only received three or four hours of quality sleep.

Besides losing a good night’s sleep, the risk of heart attack and stroke have been linked to sleep apnea. Other conditions associated with sleep apnea include depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Sleep apnea occurs when the muscles in the back of the throat relax to the point of inhibiting natural breathing. The muscles used to support the soft palate relax and the airway closes, causing breathing to stop for anywhere from ten to 20 seconds, which is dangerous because it lowers the oxygen level in the brain.

Sleep apnea can affect anyone at any age, and CPAP devices (continuous positive airway pressure), among other treatments, are often prescribed for sleep apnea treatment. Another treatment option is an oral sleep apnea appliance, which positions your mouth in a way that brings your lower jaw forward and opens up your airway for unobstructed breathing.

At Princeton Dental, we truly care about the health and well-being of our patients. In fact, we regularly screen our patients for sleep disorders during their regular checkups, and we will refer you to a sleep apnea specialist if an issue is detected. Please don’t hesitate to give us a call at our Brick, NJ office if you think you have sleep apnea or if you have any questions or concerns!

Are you nervous about seeing the dentist? You’re not alone!

July 18th, 2018

With advances in modern dentistry, a trip to Princeton Dental these days is pretty routine. But visiting Dr. Nirschl and Dr. Reck and our team still makes some patients anxious—so much so that they don’t go as often as they should and end up with costly complications down the road, such as tooth decay or gum disease.

When it comes to dental care, prevention is the best medicine. And that begins with regular checkups and dental cleanings at our convenient Brick, NJ office. Today, we thought we would offer five tips for taking the pain out of a visit to see Dr. Nirschl and Dr. Reck:

1. Ask yourself: What are you most afraid of? Is it the sound of the drill? Do you have needle phobia? Have you been traumatized by previous dental visits? Write down your fears, one by one and talk about them during your visit.

2. Don’t wait. The more frequently your visit our office, the less work will need to be done at any given visit. Simply having your teeth cleaned professionally by Dr. Nirschl and Dr. Reck twice a year prevents many, if not most, problems down the road.

3. Bring a distraction such as music to your appointment. Just plug in those earphones, close your eyes, and get lost in the music. Listening to tunes can also be a pain killer.

4. Unwind. Inhaling slowly and counting to five helps. Try holding your breath for ten seconds, then exhale slowly to the count of eight, and repeat as needed.

5. Ask us. Before any given procedure, we encourage you to ask Dr. Nirschl and Dr. Reck or one of our assistants why we’re using the tools we’re using. Ask us what we’re doing, what the tool is used for, and how it benefits you. Also, please ask about anti-anxiety medications we may prescribe to help you relax during your appointment.

If you suffer from dental anxiety, a visit to Princeton Dental might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Brick, NJ office, there is nothing to be afraid of.

Remember, you’re not alone. We understand that going to the dentist isn’t easy for everyone. In fact, the Journal of the American Dental Association estimates that as many as 12 percent of adults suffer from dental anxiety so bad that they avoid the dentist altogether. Many more suffer from varying degrees of dental anxiety, which often results in poor oral health.

If you suffer from dental anxiety, your fears don’t have to keep you from seeing Dr. Nirschl and Dr. Reck. Our patients at Princeton Dental are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Brick, NJ office. We hope to see you soon!

What's the connection between gum disease and diabetes?

July 11th, 2018

People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

  • Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
  • Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

  • Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
  • Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
  • Brush your tongue gently to remove germs that can hide there.
  • Use an anti-bacterial mouthwash to kill germs that are hard to reach.
  • Keep track of how well your blood sugar is controlled and let Dr. Nirschl and Dr. Reck know at each visit.
  • Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our Brick, NJ office for regular checkups and tell Dr. Nirschl and Dr. Reck about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

Tell us about your summer!

July 4th, 2018

The dog days of summer are upon us, and what better time for Dr. Nirschl and Dr. Reck and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in Brick, NJ and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

Brushing Mistakes You Don’t Know You’re Making

June 27th, 2018

It’s great that you’re enthusiastic about your dental health! Here are some tips from Dr. Nirschl and Dr. Reck and our team to make sure you are getting the most out of your brushing by avoiding common mistakes.

Choose the right brush

In almost every case, a soft brush provides the right amount of bristle-strength to clean your teeth and gums effectively. Hard bristles can damage sensitive enamel and gum tissue, so treat yourself kindly. Also, choose a brush head that’s the right size for your mouth, since a toothbrush that’s too large can be uncomfortable and unable to reach all the areas you need to brush.

Don’t keep your brush too long

Three months is about the average life of a toothbrush. Over time, bristles become frayed or worn and lose their effectiveness. It’s also a good idea to replace your brush after an illness.

Be gentle

Even with a soft brush, it’s possible to brush so hard that your enamel and gums are affected. Think of yourself as massaging your teeth and gums rather than scrubbing them.

Use proper technique

Using a “sawing” back-and-forth motion is hard on your enamel and misses plaque and debris between the teeth. Hold your toothbrush at a 45-degree angle, especially at the gumline, to gently remove plaque. Use short strokes or a circular motion to clean as much of the surface and between the teeth as possible. Make sure you cover all the surfaces of your teeth: outside, inside, and chewing. And don’t forget your tongue!

Take your time

Brushing twice a day for two minutes each time is the standard. Most people brush much less; try using the stopwatch on your phone or a two-minute timer to make sure you are spending enough time brushing. On the other hand, if you brush too hard or too often, remember that over-brushing can lead to problems for your gums and enamel.

Your daily routine might be fast and furious, but your dental routine requires a gentle, methodical approach. Ask at your next visit to our Brick, NJ office, and we will be happy to help you design the perfect brushing practices for your busy life.

I have halitosis. What can I do?

June 20th, 2018

Halitosis is the fancy, scientific word for “bad breath.” Dr. Nirschl and Dr. Reck and our team know there are several reasons why you may have halitosis; let’s look at a few:

  • Gum disease (also known as periodontal disease) – There are five main types of gum disease, and each one can range from mild to severe. For example the most common one is gingivitis; it is caused by bacteria in the plaque that has been allowed to build up, usually as a result of poor oral hygiene. A more serious and uncommon type of gum disease is called necrotizing periodontal disease. It is most common in people who have a suppressed immune system.
  • Smoking
  • Dry Mouth – This can be caused by something as simple as a medication you take.
  • Food – Of course, if you eat something that is potent like garlic, it is going to give you bad breath.
  • Diseases of the Body – Some diseases such as sinus infections and diabetes, among a few other types of infections, can also cause you to have halitosis.

How to Get Rid of Halitosis

The most obvious answer to how to get rid of halitosis is to practice good oral hygiene, although, depending on the cause of halitosis it may not be that simple. If you have an infection that is causing the halitosis then you may need an antibiotic to clear up the infection and then the bad breath will go away. Here are more tips:

  • Brush your teeth after every meal and before bed.
  • Floss your teeth. The more plaque you get out of your teeth, the better chance you have of not getting cavities or bad breath.
  • Address any medical conditions that are not related to your teeth that can be causing the halitosis.
  • Ask Dr. Nirschl and Dr. Reck for a prescription mouthwash that kills bacteria.

Halitosis (bad breath) can be an embarrassing condition to live with, but there are plenty of ways to get rid of it permanently. Start by talking to a member of our team at our Brick, NJ office.

Headaches: The Dental Connection

June 13th, 2018

Many people suffer through headaches for years without getting to the root cause of their problem. If you find yourself constantly popping painkillers to get through the day, it might be worth a trip to see a medical professional – but it may not be the person you think.

Talking to Dr. Nirschl and Dr. Reck can be a great start when dealing with chronic headaches, because dental issues frequently contribute to head pain. In fact, the American Academy of Craniofacial Pain estimates that 80% of headaches are caused by muscle tension, which often originates in the jaws.

What Do Tension Headaches Feel Like?

A tension headache can originate on one side of your head or can pervade your entire skull. Typically, tension headaches feel like a dull, throbbing ache inside your head. Some patients at our Brick, NJ office report that they feel as though a metal band has been wrapped around their head and is causing significant pressure. Several common symptoms suggest that tension headaches may be caused by dental issues:

  1. Feeling as though your head or scalp is painful to the merest touch
  2. Experiencing a dull or throbbing pain behind the eyes
  3. Clicking or popping sounds in your jaw joints
  4. Grinding teeth or clenching the jaws, particularly in times of anxiety or during the night
  5. Feeling as though your jaw muscles are sore when you wake up from sleep

Dental Origins of Headaches

Several dozen muscles control your facial expressions, jaw movements, and motions such as swallowing. When these muscles are contracted for long periods of time, tension builds up within the muscle and can lead to headaches. This may happen if you clench or grind your teeth at night, your bite is misaligned, or you have muscle imbalances in the jaw or neck.

Dental Treatments for Tension Headaches

Fortunately, a trip to Princeton Dental can be a fruitful way to alleviate your headaches, including the following treatments:

  1. Bite. In many cases, correcting your bite through orthodontics releases the stress on your jaw and muscles, and reduces the frequency of headaches.
  2. Nightguard. A nightguard, which resembles a sports mouthguard, may also be helpful if you frequently grind your teeth or clench your jaws during sleep. Nightguards distribute the tension from your clenched jaws and reduce the possibility of dental damage.
  3. Physical therapy and relaxation. Correcting the posture of your shoulders, neck, and head may alleviate muscle tension associated with headaches.

Healthy Summer Foods

June 6th, 2018

It’s summer—that wonderful time of year when fresh and delicious produce abounds. Dr. Nirschl and Dr. Reck will tell you that your teeth, gums, and tissues all rely on an appropriate mix of vitamins and minerals to maintain good oral health no matter what time of year. In previous studies, nutrients in fruits and vegetables such as dietary fiber, potassium, and antioxidants have all been associated with a reduced risk for cardiovascular disease and cancers, including oral cancer.

Here are four foods we want you to enjoy this summer to ensure a healthy mouth:

Watermelons and Strawberries

Watermelons have high water content, which dilutes the affects of the sugars they contain and stimulates the flow of saliva. In addition, research shows that eating foods full of water (watermelon is 92 percent water) helps keep you satiated on fewer calories. Finally, in addition to containing skin-protecting lycopene, eating watermelon can help you stay hydrated during the summer months, which not only keeps your memory sharp and your mood stable, but also helps keep your body cool.

Strawberries are juicy and delicious, and they’re also considered a superfood. Nutrient-rich and packed with antioxidants (such as vitamin C, which can help with cancer prevention), strawberries also promote eye health, help fight bad cholesterol, and regulate blood pressure.

Apples

Did you know consuming apples can help you attain whiter, healthier teeth? It’s true. Biting and chewing an apple stimulates the production of saliva in your mouth, and in the process, lowers the levels of bacteria and other harmful acids, leading to a lower likelihood of tooth decay. Apple consumption can also boost your immune system, reducing cholesterol and helping you avoid Alzheimer’s and Parkinson's diseases. Finally, eating an apple a day has been linked to heart health, including a lower risk of death from both coronary heart disease and cardiovascular disease.

Tomatoes

Tomatoes are a delicious and healthy snack and can help you ward off cancer. The yummy red fruit contains lycopene, which helps protect your skin from sunburn. Tomatoes can also help you fight heart disease due to the niacin, folate, and vitamin B6 nutrients they contain. They’re high in crucial antioxidants, such as vitamin C and vitamin A, which work to prevent DNA damage.

Periodontics and Pregnancy

May 30th, 2018

Periodontal health — which refers to the condition of the structures that support your teeth — is an important part of your oral and overall health. However, periodontal health becomes even more important when you're pregnant. Bad oral health can have detrimental effects on the health of your unborn child and can lead to low-birth weight babies and giving birth to a pre-term baby, according to reports by the American Academy of Periodontology (AAP), the European Federation of Periodontology (EFP), and several research studies.

Periodontal disease (gum disease) is a set of chronic, bacteria-induced, inflammatory diseases that attack the gum tissue and in more severe cases, the bones supporting the teeth. Early signs of periodontal disease usually include tenderness, swelling, and redness. Symptoms can also include bleeding gums when flossing or brushing, receding gums, loose teeth, and bad breath. These signs shouldn't be ignored, especially if you're pregnant.

Prevention is the best tool you have to fight periodontal disease. Here are some steps you can take to keep your gums in tiptop shape:

  • Brush your teeth properly twice a day – angle your toothbrush at the gum line to help disrupt the bacterial growth that eventually leads to periodontal disease, and make sure you don't brush too hard.
  • Floss daily and clean behind the back molars on the top and bottom of your mouth.
  • Use antiseptic mouthwash to rid your mouth of the bacteria that can cause gum disease.
  • Get regular checkups at our Brick, NJ office to ensure you have no signs of periodontal disease and that your oral hygiene habits are effective.

Dr. Nirschl and Dr. Reck and our team urge women to care for their periodontal health during pregnancy to avoid complications. If you have any questions regarding periodontal health and how it affects you and your baby's overall health, please contact our Brick, NJ office for more information.

How Smoking Increases the Risk of Oral Cancer

May 23rd, 2018

Cigarette smoke contains more than 6,000 chemicals, and at least 200 of those chemicals are known to be harmful to your health. When smoke is inhaled, moist oral tissues are saturated with excessive amounts of carbon monoxide, hydrogen cyanide, and a host of other known carcinogens. Most oral cancers originate in abnormal squamous cell activity, which are cells found on the lips, inside the mouth, and in the throat.

How Oral Cancer Begins

Cells exposed to consistently high levels of cigarette smoke may eventually suffer abnormal mutations within their DNA. Since deoxyribonucleic acid (DNA) is responsible for providing cells with instructions about growth, reproduction, and death, these instructions become distorted, which causes the cells to reproduce uncontrollably.

Essentially, that is what cancer is: rapid, unchecked growth of genetically mutated cells that encourages the development of malignant tumors. Unfortunately, the chemicals in cigarette smoke are strongly associated with oral cancer.

Signs of Oral Cancer

Early-stage oral cancer is often asymptomatic, which means symptoms appear only after the cancer intensifies and spreads. Possible signs of oral cancer include:

  • Ulcers inside the mouth or on the lips that do not heal
  • White or dark red patches inside the mouth
  • Lumps inside or around the mouth (a lump could appear on your neck)
  • Bleeding, numbness, and soreness in the mouth
  • Chronic halitosis
  • Loose teeth in the absence of tooth decay

Diagnosis and Treatment of Oral Cancer

Squamous cell oral cancer is the most common type diagnosed in smokers. Dr. Nirschl and Dr. Reck and our staff often discover squamous cell carcinoma lesions during dental examinations or cancer screenings. Depending on the stage of the oral cancer, treatment may begin with a biopsy or an exfoliative cytology procedure that involves collecting cells from the oral cavity using a scraper.

According to the Oral Cancer Foundation, oral cancer patients may need surgery, radiation therapy, a combination of surgery and radiation therapy, or chemotherapy to eradicate oral cancer.

Smoking, Cancer, and Tooth Decay

Not only is smoking the number-one cause of cancer but it is also detrimental to the overall health of your teeth and gums. Yellow teeth, bad breath, dry mouth, and expedited tooth decay are all caused by smoking, not to mention the damage smoke does to the heart, lungs, and kidneys.

In other words, don’t smoke!

Suffer from Dental Anxiety? Not a Problem.

May 16th, 2018

If you suffer from dental anxiety, we understand that paying a visit to our office can seem like a nearly impossible mission. Regardless of what the root of that anxiety might be, we’re here to tell you that at Princeton Dental, you have no need to be nervous. Our office is dedicated to making your dental experience as comfortable and stress-free as possible.

One of the best things to do if you experience dental anxiety is call our office in advance to let us know. By notifying us in advance, you give us the opportunity to provide you with the dental care you need in the way you need it.

We can prescribe a relaxation medication for you. During your appointment, we can provide a little bit of laughing gas to put you more at ease, teach you some behavioral techniques for relaxation, and make sure you’re never in the dark about what’s happening.

If dental anxiety makes you feel embarrassed, please be assured that you’re not alone. Studies show that as much as 75% of adults suffer some degree of dental anxiety! It might be helpful to remember that your doctor’s goal is the same as yours: We are here to keep your oral health in check so you can be your healthiest self. We certainly don’t want to make you uncomfortable in the process.

If you have any questions about other ways in which we can accommodate you during your visits, please don’t hesitate to contact our Brick, NJ office!

Women’s Medications and Dry Mouth

May 9th, 2018

Women using medication to treat a variety of medical conditions are often unaware of the potential side effects. One common side effect of medications such as blood pressure medication, birth control pills, antidepressants, and cancer treatments is dry mouth. The technical term for dry mouth is xerostomia.

Xerostomia can lead to undesirable effects in the oral cavity including periodontal disease and a high rate of decay. Many women who have not had a cavity in years will return for their routine exam and suddenly be plagued with a multitude of cavities around crowns and at the gum line, or have active periodontal disease. The only thing that the patient may have changed in the past six months is starting a new medication.

Saliva washes away bacteria and cleans the oral cavity, and when saliva flow is diminished harmful bacteria can flourish in the mouth leading to decay and gum disease. Many medications can reduce the flow of saliva without the patient realizing the side effect. Birth control pills can also lead to a higher risk of inflammation and bleeding gums. Patients undergoing cancer treatments, especially radiation to the head and neck region, are at a greatly heightened risk of oral complications due to the possibility of damage to the saliva glands.

There are many over the counter saliva substitutes and products to temporarily increase saliva production and help manage xerostomia. One great option for a woman with severe dry mouth or high decay rate is home fluoride treatments. These work in a number of ways, including custom fluoride trays that are worn for a short period of time daily at home, a prescription strength fluoride toothpaste, or an over the counter fluoride rinse. If you have more questions on fluoride treatments, make sure to ask Dr. Nirschl and Dr. Reck at your next visit to our office.

The benefits of many of the medications on the market outweigh the risks associated with xerostomia, however, with regular exams you can manage the risk and prevent many oral consequences of medications.

Post-Procedure Care

May 2nd, 2018

As with any surgery, post-procedure care is of utmost importance after getting periodontal surgery. Bleeding, pain, swelling, and other sensations are common and should be expected to a degree. This can manifest as small amounts of blood in your saliva, pain after anesthesia wears off, and swelling around the lips and cheeks. However, these symptoms should start improving after a several days.

Below you'll find recommendations from Dr. Nirschl and Dr. Reck on what you should do to make your post-procedure experience as quick and painless as possible:

Don't smoke - After your surgery you should definitely not smoke. Smoking will inhibit your body's ability to heal the surgical site.

Don't drink alcohol - If you are taking prescription or over-the-counter pain relievers, don't drink alcohol. And it is a good idea in general to avoid alcohol after surgery, since excess alcohol consumption suppresses immune system function and slows the healing process.

Take pain medication as prescribed or an alternative - Pain is to be expected for at least the first week after your procedure. If you choose to take the prescription medication that is prescribed to you, do so as directed. However some patients have found over-the-counter pain medication works for them. You may also consider natural herbs instead of pharmacological solutions. Try turmeric, arnica, or white willow bark (which is what aspirin is derived from, so the same warnings for aspirin apply to white willow bark.)

Eating with your surgical site in mind - It is best to chew on the other side of your mouth for the first several days so as not to irritate the surgical site. Avoid overly cold or hot foods as well. Softer foods like mashed potatoes, oatmeal, and fruit will be more comfortable to chew.

Avoid brushing the surgical site - You can start brushing and flossing your teeth the day after the procedure but avoid the surgical site.

Don't rinse for the first 24 hours - After the first day has passed you can rinse with a mild mouthwash to keep your mouth, dressing, and surgical site clean.

We're here to answer any questions you have after your procedure and will help you as best we can. Pay special attention to any excessive bleeding or discomfort. Contact our Brick, NJ office immediately if you have tried addressing the issue on your own but are still having trouble.

IV Sedation Dentistry: What is it, and how can it help?

April 25th, 2018

While Dr. Nirschl and Dr. Reck and our team at Princeton Dental strive to offer a comfortable and unmatched experience for all our patients, we realize that fear or anxiety while visiting the dentist still affects some of our patients. For those of our patients who need extra comfort and relaxation during their visits, we are more than happy to offer IV sedation, a safe and effective option that provides a deeper and more complete relaxing state than most common oral medications.

Sedation dentistry at our Brick, NJ office can turn a nerve-wracking and sweaty-palmed visit into a comfortable and pleasant one, and allows our patients to drift through their appointments, including complex dental work, feeling completely relaxed and without any discomfort or pain.

During sedation, Dr. Nirschl and Dr. Reck and our team will monitor your comfort, providing as much medication as necessary to keep you relaxed. We will also use the best tools we have at our disposal to monitor your vital signs so that you can have peace of mind before your procedure.

Dr. Nirschl and Dr. Reck and our team will be able to tell you if you are a candidate for sedation dentistry and will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit. By talking with us about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Princeton Dental. Give us a call today!

Stress and Your Oral Health

April 18th, 2018

Stress symptoms—which include high blood pressure, severe aches, and insomnia—may be affecting your health, even though you might not realize it. You may think illness is the culprit when in fact stress may actually be the reason. While stress can be good for us sometimes, Dr. Nirschl and Dr. Reck and our team know stress can be physically harmful. But what is often overlooked is that stress can also take a toll on your mouth. Here’s how:

Teeth Grinding

It’s not uncommon for people dealing with stress to develop teeth grinding, also known as bruxism. People who grind their teeth at night may do so unconsciously, but the condition requires treatment to prevent the development of headaches, TMJ, and tooth damage. If you’re a night-grinder, talk to Dr. Nirschl and Dr. Reck. We may recommend a night guard.

Mouth Sores

Research suggests stress and depression harm your immune system, making it easier for infections to develop and stick around. That can mean canker sores or a cold sore outbreak. If mouth sores are a recurring problem for you, give us a call to schedule an appointment with Dr. Nirschl and Dr. Reck.

Bad Habits

Stress can lead to bad oral health habits such as smoking, drinking, and neglecting your daily brushing and flossing routine. If you’ve been feeling under pressure lately, try to keep up with your oral health routine—it will serve you well when your stress levels return to normal.

Dr. Nirschl and Dr. Reck and our team at Princeton Dental know there’s not always an easy way to reduce your stress levels, but eating healthy, exercising regularly, and spending time with friends and family are all good places to start.

Is Your Broken Tooth An Emergency?

April 11th, 2018

When you chip a tooth badly, it can be a very nerve-wracking situation. Dr. Nirschl and Dr. Reck and our team want to provide you with some information that can help if you ever suffer a chipped or broken tooth. The most common ways people break their teeth are by biting down on something hard, getting hit in the mouth, falling down, or developing cavities that weaken the tooth and allow it to be broken easily. There are a few things you can do if you find yourself in this situation, however.

First, we recommend that you investigate whether the tooth is partially chipped or completely broken. Unless you are experiencing a lot of pain or bleeding, this should not be treated as an emergency. You may call our office and we will try to schedule an appointment with you as soon as possible. Once we have evaluated the tooth during your appointment, we can start to treat it. For minor chips or cracks, we may simply smooth out the area or fill in the space so the crack doesn’t spread.

If your teeth show severe damage such as a serious break, split tooth, split root, or a decay-induced break, Dr. Nirschl and Dr. Reck may need to take more time to fix the problem. If you need emergency dental care because a tooth has fallen out, call our practice immediately to schedule an appointment for that day. If you’re waiting for an emergency appointment, you can rinse your mouth with warm salt water and apply slight pressure to the area to stop the bleeding. We recommend using an ice pack to reduce swelling, but do not take any aspirin because that may increase the bleeding.

If your tooth has completely fallen out of the socket, hold it by the crown and rinse it under running water. Do not let the tooth become dry; instead, place it in salt water or milk until you get to our office. Dr. Nirschl and Dr. Reck will determine whether the broken tooth can be salvaged or will need to be completely replaced.

We know how upsetting it can be to chip or break a tooth, which is why we want to guide you through this process. Most chipped teeth are usually just cosmetic problems, fortunately, but we know that dental emergencies can come up rather suddenly. Be sure to schedule an appointment at our Brick, NJ office as soon as an emergency situation occurs.

Oral Cancer Awareness Month

April 4th, 2018

Happy Oral Cancer Awareness Month! We know oral cancer can be kind of a scary topic, but it’s worth using this opportunity to learn about the disease and spread knowledge so everyone becomes more aware. The more we know, the better we can work to prevent it!

Oral cancer is exactly what it sounds like: cancer that occurs anywhere in the mouth. It could occur on the tongue, the lips, the gums, the tongue, inside the cheek, or in the roof or floor of the mouth. Every  year, more than 8,000 people die from oral cancer. It’s a truly deadly disease.

The reason oral cancer scores a higher death rate than other common cancers such as testicular cancer, Hodgkin’s disease, thyroid cancer, cervical cancer, or even skin cancer, is because it often goes undetected until it's become too advanced and has spread to another part of the body.

So what causes this devastating disease? There is no clear answer, but some potential causes have been identified. By being aware of these, we can be alert and promote prevention of this illness:

  • Age: Most patients who develop oral cancer are above the age of 40. If you’re over 40, make sure your doctor checks for signs of oral cancer and that you stay on your dental hygiene regimen.
  • Tobacco: Excessive tobacco use, whether in the form of cigarette smoking or tobacco chewing, can be a substantial contributor and cause of oral cancer. So that’s another reason, among many, you should avoid tobacco.
  • Alcohol: Excessive alcohol consumption can put you at risk because alcohol converts into a chemical called acetaldehyde, which damages the body’s DNA and blocks cells from repairing the damage. When paired with tobacco, the dehydrating effects of alcohol make it even easier for tobacco to infiltrate mouth tissue.
  • Sun exposure: Your lips need SPF, too! Repeated sun exposure increases your risk of contracting cancer on your lips, especially the lower lip.
  • Diet: Not getting all the nutrients you need, from vegetables and fruits for instance, can weaken your immune system and make you more vulnerable to the disease.

Obviously, many of these causes relate to lifestyle choices, which we have control over. It's all about balance, being aware, and making small tweaks to our habits if we need to.

If you’re concerned that you may be at risk for oral cancer, give us a call to talk about a screening. And if you’ve been putting off a visit to our Brick, NJ office, now is an excellent time to schedule one. Regular visits to the dentist can be the first line of defense against oral cancer!

Germs living on my toothbrush? Say it ain’t so!

March 28th, 2018

You may have heard talk about the germs that can reside on your toothbrush and thought, “really?”

It’s true—there are several kinds of bacteria that can lurk on the bristles of your toothbrush, including streptococci, staphylococci, Herpes Simplex I, and the Influenza virus. To protect your toothbrush from bacteria, Dr. Nirschl and Dr. Reck and our team want you to consider the following three tips:

  • Wash your hands before and after brushing.
  • Allow the brush to air dry after each use, as harmful bacteria dies after being exposed to oxygen. It is best to disinfect your toothbrush weekly and allow it to dry in between use. Store the toothbrush in an upright position to allow water to drain and dry faster
  • Replace your toothbrush every three to four months, or after being ill. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

We hope these tips help! Feel free to give us a call at our Brick, NJ office or ask us on Facebook if you have any questions!

Dangers of Thumb Sucking

March 21st, 2018

It’s common for children to suck their thumb at a young age. Dr. Nirschl and Dr. Reck and our team want you to understand the potential issues that can surface down the road if the habit isn’t broken early on.

It’s normal for infants to explore the function of their mouths by putting objects like their thumbs inside it. You shouldn’t be concerned if your baby regularly sucks his or her thumb. For infants who are still growing their baby teeth, thumb sucking can help with stimulating growth and development of their baby teeth.

Thumb sucking is not a problem among infants because they generally do it to sooth and comfort themselves. Problems can occur of kids continue the habit when their baby teeth begin to fall out, around six years of age.

If you have a young child whose adult teeth are starting to come in, that’s when thumb sucking can start to be a problem. Most children stop thumb sucking between the ages of two and three years. According to the American Dental Association, if thumb sucking continues as adult teeth come in, this can lead to problems involving improper alignment of teeth and growth of the jaw, gums, and roof of the mouth.

It may also affect your child’s speech after that, by causing a lisp or other speech impediments. As a parent, you may need to begin to regulate and intervene if thumb sucking starts to become a bigger problem for your child.

How to Stop Thumb Sucking

  • Provide comfort to your child if thumb sucking happens when he or she is anxious.
  • Limit thumb sucking initially to bedtime or naptime.
  • Employ positive reinforcement for good behavior.
  • Talk with your child about the potential problems that come from this habit.
  • Distract your son or daughter with activities such as fun games any time you notice it starting.
  • Involve your little one in choosing methods for stopping, like positive rewards.
  • Have Dr. Nirschl and Dr. Reck talk to your child to reinforce concerns about thumb sucking.

Don’t forget that thumb sucking is a common habit that many children indulge in, and it should not be a concern right away. If you’re worried about your child’s thumb-sucking habit, start to address the issue as soon as possible.

The above techniques can help to reduce the amount of time your child sucks a thumb. Dr. Nirschl and Dr. Reck and our team are here to help you if you have any questions or concerns about this habit.

Feel free to call our Brick, NJ office and we will be happy to help you and your child.

What exactly is biofilm?

March 14th, 2018

Biofilm is a protective home for bacteria that’s composed of microorganisms. Biofilm can be found in wet places such as ponds, sewers, and bathroom drains, and it also grows on metals and minerals.

But biofilm can also be found in your mouth, in either healthy or diseased form. Both are composed of the same compounds, but when they combine with certain amino acids or chemicals, diseased biofilm will begin to destroy your enamel. You might notice this as a slimy yellow buildup of dental plaque on the surface of your teeth.

Biofilm takes form when free-swimming bacterial cells land on a surface and attach in a cluster. The cells begin to multiply and form a micro-colony that promotes diverse bacterial species to grow. To prevent biofilm from settling in your mouth to begin with, make sure to keep up your daily oral routine.

Any mouth appliances you use should also be scrubbed or soaked in cleaner as often as possible. You should pick a toothpaste that has antibacterial ingredients, rinse with mouthwash, and floss daily.

There are many ways to treat diseased biofilm. One is to kill the microorganisms through the use of chlorhexidine, triclosan, and mineral agents that reduce the degree of plaque formed in your mouth.

Another way is to make sure to go to your regular cleanings every six months with Dr. Nirschl and Dr. Reck. During your cleaning, we remove excess biofilm that’s accumulated on your teeth over the past six months.

Don’t forget that it’s also essential to keep a healthy amount of biofilm in your mouth, though. This type of biofilm protects your body from disease and is replicated every twenty minutes. If you have a healthy amount of good biofilm, the chances of your mouth producing harmful bacteria decreases.

Ask about biofilm during your next appointment at our Brick, NJ office if you’ve noticed any irregular yellow-colored buildup on your teeth. Dr. Nirschl and Dr. Reck will make sure your mouth has a healthy balance of biofilm.

The best way to create a healthy environment in your mouth is to stay on track with your oral health regimen. Prevention is the best method when it comes to your dental hygiene and fighting diseased biofilm.

 

The Consequences of Sports and Energy Drinks

March 7th, 2018

They’re refreshing and tasty. They’re easy to find and pretty cheap. They help us get through a long day or a long workout. They’re everywhere.

We know it’s hard to say no to an energy or sports drink. That’s why Dr. Nirschl and Dr. Reck and our team want to make sure you know the effects that energy and sports drinks can have on your smile and overall oral health. You might just think twice next time you crave one.

There’s a common misconception that sports and energy drinks are somehow healthier than soda beverages. None is particularly good for you, but because sports and energy drinks have higher acidity levels, they put you on a fast track to enamel erosion, which can lead to cavities over time. However, studies show that energy drinks may be the worst of the bunch.

In a study published in General Dentistry, the energy drinks that showed the highest acidity levels were 5-hour Energy, Monster, Rockstar, and Red Bull Sugar free. These drinks almost doubled in acidity when compared to sports drinks. The sports drinks that came in second as far as acidity levels go were Powerade, Gatorade, and Propel.

You may be thinking, “What's the big deal; lots of other drinks damage your teeth, too,” and you’re right. Even all-natural beverages like orange juice and other fruit juices, which are advertised as full of vitamins, contain acid that damages tooth enamel. The point here is that moderation is key.

We certainly encourage you to choose a glass of orange juice over an energy drink, but if you feel like you just can’t give up your sports and energy drink habit, then please consider the following tips:

  • Limit yourself to a certain number of said beverages a week and stick to it.
  • Rinse with water after consuming an energy or sports drink.
  • Brush your teeth after an hour of downing the drink, so your mouth has time to return to its normal pH level.

If you have any questions, don’t hesitate to give us a call at our Brick, NJ office. Shoot us a message on Facebook, or let us know on your next visit!

My teeth feel great. Do I still need to see the dentist?

February 28th, 2018

Absolutely. Checking in with Dr. Nirschl and Dr. Reck on a regular basis—usually every six months—is essential to keeping your smile looking its best. At Princeton Dental, we are proud to offer a number of preventive procedures to ensure the health of your mouth and the beauty of your smile. Your smile is just as important to us as it is to you!

Another good reason to visit our Brick, NJ office is to check for hidden issues in your mouth you may not even realize you had. Bacteria, tartar, and cavities are known to form in the hard-to-reach crevices of your mouth and may only be detected through a professional exam. If left untreated, these cavities and decay can get worse, requiring more extensive treatment, and costing you even more time and money down the road. During your routine exam, Dr. Nirschl and Dr. Reck and our team will also check to make sure your fillings or other dental restorations you may have had are in good shape.

Preventing problems before they start is the key to optimal oral health. If it has been more than six months since your last visit, please contact our Brick, NJ dental office to schedule your routine checkup! See you soon!

What is a root canal?

February 21st, 2018

A root canal entails the removal of the nerve supply from a tooth. If you know the purpose of a root canal, the process may seem a little less intimidating.

Dr. Nirschl and Dr. Reck will explain the steps in person before your scheduled root canal. Here are some reasons why you may need one and how it will be done when you visit our Brick, NJ office for your appointment.

Let’s look at the parts of a tooth. Teeth are made up of layers. The outside is the enamel you see, which is composed of minerals. The middle layer is called dentin. It is less dense and made of calcified tissues.

The center of the tooth, also known as the pulp, holds the nerves and blood vessels. When a tooth has decayed or been infected all the way down to the pulp, a root canal is used to remove and replace the root with a filling.

A cavity, sudden trauma, severe cracks, or other events that may cause nerve damage can start an infection of the root of your tooth. You may notice an infection if you experience abnormal pain, swelling, sensitivity, or change in tooth appearance.

Don’t hesitate to contact our Brick, NJ office to schedule an examination if you notice these symptoms. We may need to take X-rays of the problem tooth to find out if a root canal is necessary.

Once an appointment is scheduled for a root canal and we’re ready to begin the procedure, you’ll be given anesthesia to keep you comfortable. The problem tooth will be isolated and sterilized. We work to remove all the infected area after that.

The treatment will include getting rid of nerve tissue and blood vessels, then filling in the spot where the nerve used to be. A crown is placed over the area to secure enamel from breaking down in the future and prevent the potential loss of the tooth. The root canal can block the possibility of having your tooth extracted due to decay or infection.

If you have further questions about root canals or notice any new issues in your mouth, please don’t hesitate to call our office and speak with a member of our staff. We’d be happy to answer your questions and schedule an appointment for you to come and get your problem tooth checked out.

Don’t forget: You can avoid having to undergo a root canal if we catch the problem early on!

The Origins of Valentine's Day

February 14th, 2018

When we think of Valentine’s Day, we think of cards, flowers, and chocolates. We think of girlfriends celebrating being single together and couples celebrating their relationship. We think of all things pink and red taking over every pharmacy and grocery store imaginable. But what Dr. Nirschl and Dr. Reck and our team would like to think of is when and how this joyous, love-filled day began.

Several martyrs’ stories are associated with the origins of Valentine’s Day. One of the most widely known suggests that Valentine was a Roman priest who went against the law at a time when marriage had been banned for young men. He continued to perform marriage ceremonies for young lovers in secret and when he was discovered, he was sentenced to death.

Another tale claims that Valentine was killed for helping Christians escape from Roman prisons. Yet another says that Valentine himself sent the first valentine when he fell in love with a girl and sent her a letter and signed it, “From your Valentine.”

Other claims suggest that it all began when Geoffrey Chaucer, an Englishman often referred to as the father of English literature, wrote a poem that was the first to connect St. Valentine to romance. From there, it evolved into a day when lovers would express their feelings for each other. Cue the flowers, sweets, and cards!

Regardless of where the holiday came from, these stories all have one thing in common: They celebrate the love we are capable of as human beings. And though that’s largely in a romantic spirit these days, it doesn’t have to be. You could celebrate love for a sister, a friend, a parent, even a pet.

We hope all our patients know how much we love them! Wishing you all a very happy Valentine’s Day from the team at Princeton Dental!

Good Dental Hygiene Impacts Overall General Health

February 7th, 2018

There are many ways in which your oral health has an impact on your overall general health. There are naturally occurring bacteria in the mouth. Some of those bacteria, including strep and staph, are harmful, while other bacteria are essential for the balance of intestinal flora. The healthier your mouth is, the less likely it is the harmful bacteria will travel to other parts of your body to infect it and make you sick. There is much more to good dental hygiene than brushing and flossing.

Historical Methods of Maintaining Oral Health

Ancient civilizations relied on natural remedies for maintaining oral health. Around 250 AD, the Kemetic Egyptians used myrrh and other herbs as antiseptics for treating infected gums. Two centuries later, the Nubians, who lived in the Nile River valley, drank beer to ease the pain of infected teeth. That probably sounds crazy, but their beer was effective because they used grains that were contaminated with the same bacteria that produce the antibiotic tetracycline.

Today's Biggest Dental Hygiene Challenge

In the past, tooth decay was more of an issue because there was no routine dental care, and problems that are routinely treated today went untreated. Thanks to fluoridated water, and toothpastes containing fluoride, tooth decay is far less problematic than it was a century or more ago. Gum disease has replaced tooth decay as the most serious dental problem facing people today. According to the American Dental Association, a staggering 80 percent of Americans over age 65 suffer from some form of periodontal disease.

Ironically, if that infection attacked any other part of your body, especially in a place where it was clearly visible, you would head to your doctor for treatment immediately. People tend to ignore gum tenderness and bleeding. When the tenderness and bleeding aren't treated, the inflammation can turn into periodontitis. The longer you allow the inflammation to go untreated, the greater the likelihood that it will affect other body parts. Make sure to visit Dr. Nirschl and Dr. Reck at Princeton Dental regularly to be proactive about dental health!

Researchers are now discovering that untreated inflammation in the mouth acts as a driving force for multiple chronic illnesses, including clogged arteries, heart attacks, arthritis, and even cancer. That inflammation is one of many hypotheses that may explain how chronic infections can trigger systemic diseases, and even intensify existing ones. Bacterial overgrowth in the inflamed gum tissue can enter the bloodstream through the food you eat, and from daily brushing.

Caring for your mouth at home is just as important as visiting our office for exams!

Oral Health Concerns for Teens

January 31st, 2018

You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Dr. Nirschl and Dr. Reck and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to Princeton Dental to get it looked at. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

  • Drink plenty of milk.
  • Limit candies and sugary snacks.
  • Wear a mouthguard if you play a contact sport.
  • Visit Princeton Dental twice a year.
  • Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!

What exactly is periodontal disease?

January 24th, 2018

Periodontal disease is an infection of the tissues that surround and support your teeth. Our team at Princeton Dental wants you to know that this common ailment can be fixed with little worry if treated properly.

Periodontal disease is usually identified through dental X-rays, probe depths, and visual exams. If left untreated, it can lead to tooth sensitivity, premature tooth loss, or discomfort and pain in your mouth. Some common symptoms to watch for include bleeding or swollen gums, bad breath, teeth movement, or jaw displacement.

Factors that may increase your risk of developing periodontal disease may include poor oral hygiene, smoking/chewing tobacco, genetics, stress, inadequate nutrition, pregnancy, diabetes, and some medications. Some of these causes are avoidable, but others are not.

If you have diabetes, you may be more prone to periodontal disease due to the greater difficulty in controlling blood glucose levels. Studies have shown that once periodontal disease is treated, glucose levels become more responsive to control as well. If your risk for periodontal disease is heightened by one of these factors, make sure to watch for the signs and keep up with your daily oral hygiene routine.

How can you treat this common disease that affects almost half of the population? Depending on the severity, treatment can include a medicated mouth rinse, antibiotic treatment, laser therapy, or scaling and root planing. It’s useful to recall that this condition can vary from mild to severe, which is why you should make an appointment at our Brick, NJ office if you notice any of the above symptoms.

 

Pregnancy and Oral Care

January 17th, 2018

Pregnancy involves a lot of alterations in your health. Princeton Dental is here to help you understand the oral health aspects of your pregnancy.

As you may already know, your body becomes more susceptible to bacterial complications. In terms of oral health, you may be at a higher risk for gingivitis and periodontal disease during the course of your pregnancy.

The hormonal changes in your body can create a more welcoming environment for gum infections, including gingivitis. Although you may continue to brush and floss on a regular basis, and maintain your schedule of cleaning appointments, you are still prone to an increased risk of gingivitis. Your gums may feel more sensitive and become more prone to bleeding because of the increased amount of blood flowing through your body. This can also be a side effect of periodontal disease, which nearly 40% of pregnant women have.

In order to avoid painful dental visits, you should attempt to brush more than twice a day and always floss regularly. We recommend investing in a good mouthwash for extra protection against plaque buildup. Other oral conditions to watch out for during pregnancy include oral gingival lesions, tooth mobility, tooth erosion, and dental caries.

Keeping your oral health in top shape will prevent bacteria from circulating to other places in your body during pregnancy. Your immune system is more likely to be compromised, which means you generally face an increased risk for illnesses.

Don’t forget that you share nutrients and pathogens with your baby, so it’s crucial to reduce your risks in every possible way. If you think you may be experiencing an oral health issue during your pregnancy, please call our Brick, NJ office to schedule an appointment, and we will be happy to help you.

Four Tips for Soothing a Toothache

January 10th, 2018

Whether it’s a dull and throbbing ache or a sharp pain, toothaches can come in many different forms. Chances are you’ve had the discomforting experience once or twice in your life. It’s the type of experience that nobody wants to have, because a toothache can be as annoying as fingernails scratching a chalkboard.

What’s a good way to describe a toothache? Let’s see … your mouth feels as if it’s being besieged by one of those Loony Tunes-style jackhammers. As fate would have it, toothaches always seem to occur over the weekend or after-office hours, leaving you to suffer and forcing you to cancel your reservation at that high-end restaurant you’ve been anticipating all week.

Not so fast!

While you’re probably going to want to skip the rib-eye steak, there are numerous tried-and-true home remedies you can use to ease the pain until you can make an appointment with our office. Here’s a look at four ways to soothe a toothache.

  1. Don’t underestimate the power of salt water. Rinsing your mouth with warm salt water will both soothe your toothache and disinfect your mouth. However, make sure the water is warm; cold water can further exacerbate a sensitive tooth. Follow up the saltwater rinse by swishing your mouth with hydrogen peroxide.
  2. Clove oil, eucalyptus oil, peppermint oil, and vanilla extract are proven to be comforting elixirs. Dip a cotton swab in one of these mixtures and apply it to your tooth and gums. These substances, which you may even have in your kitchen cupboards, are known to have pain-relieving qualities. For the best results, repeat the application throughout the day.
  3. Eating yogurt is good for toothaches and mouth pain. Yogurt is filled with healthy bacteria that combat pain. Afterward, place a cold compress on your jaw.
  4. Try flossing. Your toothache might be throbbing and severe, but there’s always a chance the pain is caused by a piece of food awkwardly lodged in your teeth.

We hope that helps! Give Princeton Dental a call to learn more!

Avoid the Emergency Room for Dental Problems

January 5th, 2018

There are certainly situations when going to an emergency room is the best response for your problem. A severe injury to your mouth, jaw, or face would qualify.

However, when it comes to long-term solutions for other dental problems, an emergency room visit may fall short. If you suffer from a major toothache, cavity, a broken tooth, crown, or veneer, it’s better to go straight to the dentist for treatment.

Dr. Nirschl and Dr. Reck can provide you with a treatment plan that will be long lasting. When you visit an ER for a common dental problem, more likely you’ll only be given temporary relief for a serious and ongoing problem.

In many cases, the emergency room will give you pain medication to mask the symptoms until you can schedule an appointment at our Brick, NJ office. That results in a lot of wasted time, as well as two separate medical bills. The ER may give you a temporary crown or filling, but you will still need a follow-up appointment for a permanent restoration.

We recommend you find the nearest emergency dental clinic, or even try a home remedy to relieve the pain until you can schedule an emergency appointment at Princeton Dental. A warm salt-water rinse or cold compress can be used to sooth tooth and gum pain in the meantime.

If you experience a dental emergency and are unsure about what to do, feel free to contact our Brick, NJ office at any time. We will fit you into our schedule right away and figure out the best course of treatment for your problem.

Smile, the New Year is Almost Here!

December 27th, 2017

We’ve been celebrating the new year for a really, really long time. It goes way back, but it started formally in 1582, when Pope George XIII made January 1st the official holiday for ushering in the new year. The idea was to yell, cheer, and blow horns to scare away all the evil spirits of the previous year with the hope that the new one would be filled with happiness and opportunity.

While scaring away evil spirits isn’t what’s on our mind these days, we still ring in the New Year by cheering and hollering with friends and family. It’s a time to set new goals, refocus on old ones, and look forward to all the surprises the coming year will bring.

Whether you’re saying hello to the New Year snuggled up at home on your couch in the Brick, NJ area or by gathering your friends for a social celebration, here are some tips to help ensure you welcome this new chapter with a smile.

Tips for a great New Year’s Eve celebration from Princeton Dental

  • Stay safe. This one’s vital, because nothing puts a damper on your party like an emergency trip to the hospital. Stay responsible and try to plan ahead, whether that means taking a taxi, staying with a friend, or recruiting a designated driver. Do what you have to do to keep yourself and everyone around you safe.
  • Spend time with the people you love most. The way we see it, the whole point of the holiday season is to cherish your family and friends. Regardless of what you’re doing, make sure there’s something for everyone. It’s essential to do something the whole group will enjoy!
  • Smile! Whether you get all dressed to go out or have a quiet gathering with family and friends, make sure you accessorize with a smile. There’s always something to smile about!

We can all agree that change can be scary sometimes, but ringing in the New Year is an observance we all welcome with open arms. We hope you’ll enjoy this transitional holiday in a fun, healthy, and safe way. You have endless possibilities ahead of you!

From Dr. Nirschl and Dr. Reck, have a fantastic New Year!

Is your child a mouth breather?

December 20th, 2017

Have you ever watched to see if your child is breathing through his or her mouth? Breathing through the mouth instead of the nose may lead to trouble for youngsters. Kids who typically breathe through their mouth—most often children who suffer from allergies—experience problems getting enough oxygen into their blood, a condition that affects their weight, size, sleep, and even their performance in the classroom and daily life.

Mouth breathing as a child can also lead to sleep apnea, behavior and learning problems, delayed speech, dental and facial abnormalities, and even breathing problems as your child grows. There are a multitude of reasons for an individual to mouth breathe, such as enlarged tonsils, adenoids, and deviated nasal septum, but the cause is usually allergies.

As bad as the condition sounds, we want you to know mouth breathing is a treatable condition. Doing so, though, requires early diagnosis and treatment. Since our team at Princeton Dental sees our patients every six months, we may be in a position to identify the symptoms of mouth breathing.

If you suspect your child is a chronic mouth breather, please give us a call at our convenient Brick, NJ office to schedule an appointment with Dr. Nirschl and Dr. Reck.

The Effects of Sleep Apnea on Dental Health

December 13th, 2017

Sleep apnea is an increasingly common medical condition, and one that can have a truly devastating effect on the waking life of the sufferer. Those who suffer from the disorder may find that they suffer any or all of the following side effects:

  • Saliva has several important jobs, and one of them is to protect and heal your tongue, your gums, and the inside of your mouth. Snoring and sleep apnea dry out your mouth, meaning there isn’t enough time for your saliva to do all this vital work.
  • Over an extended period of sleep apnea, it’s likely that the sockets of your teeth will begin to dry out overnight as a result of your gasping for air and snoring between breaths. If this happens too frequently over a long a period of time, it can start to loosen your teeth.
  • Those with sleep apnea often also practice bruxism, which is the habit of clenching and grinding your teeth together as you sleep. This can lead to all manner of problems, including TMJ disorder, damage to the enamel, headaches, and toothaches.
  • For obvious reasons, sleep apnea does not lead to a particularly good night’s sleep. This means that sufferers are often tired and irritable, and suffer from the many other ill effects of sleep deprivation.
  • While it is unclear whether the reasons behind this are correlative or causative, it has been suggested there are links between sleep apnea and cardiac arrests, depressive disorders, Type Two diabetes, cancerous tumors, “silent” strokes, and various complications of pregnancy.

While sleep apnea can be a troubling condition, Dr. Nirschl and Dr. Reck and our team at Princeton Dental will tell you it is eminently treatable. There are a number of ways to combat it, ranging from simple sleep hygiene to use of a CPAP machine. Of course, if it is possible for you to reduce your weight a little in a safe and healthy way, some have found that is also helpful in combating the problem. Sleep apnea is very easy to treat, once it has been correctly identified.

If you think you may be suffering from sleep apnea, or if you would like to know more about the condition, please give us a call at our convenient Brick, NJ office to schedule an appointment with Dr. Nirschl and Dr. Reck.

Help! My gums hurt when I floss!

December 6th, 2017

By no stretch is it rare for your gums to hurt during and after flossing. Even some bleeding is to be expected. This is especially true if you have not flossed in a long time. However, if your gums do indeed hurt when you floss, and unbearably so, there are some things you can do.

Be Gentle

Perhaps the most obvious way to combat gum soreness and bleeding is to be gentle. One of the most common occurrences of these gum problems is over-aggressive flossing. In other words, if you are too rough on your gums while flossing, either because you are out of practice or because you are in a hurry, soreness and hurting is to be expected. Instead, try taking your time and be gentle. Also, if you are just starting out, be patient and consistent, your gums will become more conditioned over time.

Use an Alternative Method

If being consistent and gentle does not work, there are other alternative methods of flossing that you can try. You can also try a water floss machine, or what is sometimes called a water pick. The device essentially shoots water into the crevasses between your teeth, and in other areas of your mouth, in order to dislodge food and plaque. These oral instruments also come with different attachments that allow you to reach many of the hard to see and reach areas of your mouth. And lastly, you can always buy floss that is not as abrasive to your gums. There is floss that comes with soft and gentle coatings that will do less harm to your gums while they are adjusting to the good oral hygiene habit you are creating.

Flossing is one of the easiest parts of oral hygiene to overlook. When you first start out, it is common that you may want to stop because of the pain it can initially cause. However, if you try one, or all, of the above mentioned methods, you will give yourself the best chance of being success with your flossing, and it won't hurt as much.

For more flossing tips, schedule an appointment at our Brick, NJ office and askDr. Nirschl and Dr. Reck or a member of our team!

The Secret to Keeping Your Teeth for Life

November 29th, 2017

The secret to keeping your teeth for life involves more than one secret. The first is that there is no secret; and in fact, there really is no difficulty involved. Follow this simple four-step process – brush, floss, rinse, and visit our Brick, NJ office regularly – and you will have healthy teeth for life!

Brush

You should brush your teeth twice a day, preferably once in the morning and once at night. Three times a day will not hurt. Use a soft-bristled toothbrush and light pressure; you do not want to scrub away your gums or tooth enamel.

Brush for a minimum of two minutes, and carefully clean all tooth surfaces. Three minutes is better. Use quality toothpaste; Dr. Nirschl and Dr. Reck and our staff can recommend the best type for your needs. Keep your toothbrush clean and replace it about every three months.

Floss

Make flossing part of your daily routine, at least once a day. Flossing is important for more than just removing food particles between your teeth. The process also helps to remove bacteria that you cannot see. Bacterial build-up turns into plaque, or calculus: a cement-like substance that cannot be removed by brushing alone.

Use floss gently; you do not want to cut your gums. There are many different types of flosses and flossing tools. Dr. Nirschl and Dr. Reck and our staff will be happy to help you find the style that works best for you.

Rinse

Mouthwash does more than freshen your breath. Rinses help kill the bacteria that lead to plaque formation and gum disease. This extra step can go a long way toward having healthy teeth for life.

Keep your appointments

You should have a professional cleaning at Princeton Dental twice a year. Some patients benefit from more frequent cleanings. Your hygienist will remove any plaque build-up to prevent gingivitis, which left untreated becomes full-blown gum disease. Periodontitis leads to tooth loss.

You also need to see Dr. Nirschl and Dr. Reck twice a year for a teeth and mouth exam. We can find problems such as cavities, and treat them before the situation becomes critical. Ask our Brick, NJ team any questions you have; together we can make your teeth last for life.

What are dental sealants, who should get them, and how long do they last?

November 22nd, 2017

Dental sealants are an excellent way to protect children’s teeth from tooth decay by coating them with a thin plastic material. Their teeth look and feel like normal, but they are protected from plaque build-up and decay early on. Dr. Nirschl and Dr. Reck and our staff recommend sealants as a preventive measure for children before any decay appears on their teeth.

Who should get dental sealants?

Dental sealants are intended for young children as soon as their first teeth come in. Decay is most common in the molars, so taking your child to Princeton Dental for sealants right when you see the molars grow in gives your child the best chance to fight tooth decay.

A child’s first set of permanent molars grow in between ages five and seven, while the second permanent molars come in between 11 and 14 years of age. Some teens and adults who don’t have tooth decay may get sealants as well, but it is less common.

How long do dental sealants last?

Once the sealant has been placed on the teeth, it lasts up to ten years. Expect to have Dr. Nirschl and Dr. Reck check the sealant at every visit to our Brick, NJ office, which should be twice a year. We will look at the sealant and determine if it needs to be replaced.

What is the process of getting sealants?

Applying sealants is a simple, pain-free procedure that is done quickly at Princeton Dental. There is absolutely no effect on the tooth structure from sealants.

For starters, the teeth are cleaned carefully, then dried with an absorbent material. A mild acid solution is applied to them to roughen them slightly. This is done so the sealant can bond properly to the teeth. Then the teeth are rinsed and dried, and the sealant material is painted on and dried with a special light.

Molars are susceptible to decay early on, which is why sealants are an important treatment to get for your children’s first set of teeth.

Sleep Apnea and Snoring

November 15th, 2017

Snoring may not be something you take seriously. You might even laugh or joke about it. But the fact is, anytime you or your partner snore to the point of waking, it could be a sign of serious health problems.

Sleep Apnea and Its Effects

Sleep apnea is a sleep disorder that is potentially dangerous, and the most common symptom is loud snoring. Breathing repeatedly starts and stops throughout the night, and you wake up feeling tired. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed.

Besides losing a good night's sleep, you may experience difficulty concentrating. Depression, risk of heart attack, irritability, high blood pressure, memory loss, sexual dysfunction, and chances of stroke all increase when sleep apnea is not treated.

Sleep apnea occurs when the muscles in the back of the throat relax to the point of inhibiting natural breathing. The muscles used to support the soft palate relax and the airway closes, causing breathing to stop for ten to 20 seconds. This lowers the oxygen level in the brain. As the brain senses the inhibited oxygen levels it rouses the sleeper awake so the airway can reopen. Normally, the reawakening is so brief the person won't remember it.

If you think you may have sleep apnea, visit our Brick, NJ office and let Dr. Nirschl and Dr. Reck determine what treatment is needed. Without it, you could risk losing more than a restful night's sleep.

Prevention and Treatment

Anyone can develop sleep apnea, but it is more common among middle-aged adults who are overweight. Dr. Nirschl and Dr. Reck can help you determine the cause and suggest positive treatment.

A common treatment for apnea is the placement of oral devices that are designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and thereby discourages snoring. We are experienced in sleep apnea appliances, and Dr. Nirschl and Dr. Reck can prescribe a fitted device and monitor its success with follow-up therapy.

A continuous positive airway pressure mask, known as a CPAP, is among the other treatment options. A mask is fitted over the mouth and forces oxygen through the throat while you sleep. The pressure holds the soft tissue and throat muscles open.

Our professionals at Princeton Dental can advise you of other ways to prevent sleep apnea, including weight loss, avoiding alcohol, or alternative sleeping positions. We can help you sleep return to easy sleep, knowing you are safer and healthier during your resting hours.

Good Oral Health Habits When You’re Pregnant

November 8th, 2017

Dr. Nirschl and Dr. Reck and our team at Princeton Dental will tell you that good oral health habits when you are pregnant are very important. A plaque or infectious buildup can affect the baby in gestation, and cause some unforeseen issues during birth. There are a few steps relating to oral health that can help prevent complications and other pregnancy issues. Here are a few things to consider about oral health when you are expecting.

Proper brushing

Brushing your teeth at least twice a day is essential when you are pregnant. This will peel away any buildup that you have on your teeth, and help create a shield against future buildup. Swallowing large amounts of plaque or bacterial buildup can and will affect the gestation of the fetus, and can cause certain complications.

Floss

Flossing will also help remove a lot of the buildup in your teeth that can promote infection. Make sure you floss at least once a day. Bacterial infections fester on food buildup, and certain destructive viruses can also breed and grow on these remnants.

Morning sickness

The acidity of vomit can erode the enamel on your teeth, and create buildup of damaging particulates in your teeth. If you are experiencing regular morning sickness, rinse your teeth with a mixture of baking soda and water. This will remove buildup, and alleviate some of the acidity from the vomit.

Alcohol-free, antimicrobial mouthwash

Regardless of whether you are trying to or not, you will swallow small amounts of your mouthwash. Alcohol can affect your gestating baby. Use an antimicrobial, alcohol-free mouthwash.

Visit the dentist

If you have any dental issues, please give us a call at our convenient Brick, NJ office away. We will be able to diagnose and treat any oral health issues immediately, and make sure they do not affect your developing child. Protecting your baby includes protecting your oral health.

Natural Ways to Soothe a Toothache

November 1st, 2017

Toothaches can come in many different forms, but no matter which, they’re always uncomfortable. Dr. Nirschl and Dr. Reck and our team want you to know there are simple ways to cure this common problem.

Toothaches can be caused by infections, gum diseases, teeth grinding, trauma, or having an abnormal bite. Several symptoms may become noticeable when you start to experience a toothache. You might develop a fever, have trouble swallowing, notice an unpleasant discharge, and most often feel lasting pain when you bite down.

If you begin to notice any of these symptoms, try to manage the pain with the simple remedies below. If the pain continues, contact our Brick, NJ office and schedule an appointment, because a bigger issue might be involved.

  1. First, try rinsing your mouth out with warm salt water. This helps to disinfect your mouth and may soothe the region where the toothache is occurring. Hydrogen peroxide can also help if you swish it around in your mouth.
  2. Applying a cold compress or ice pack to your jaw in area that hurts can help with swelling.
  3. Make sure to floss your entire mouth thoroughly. The problem could be caused by food debris stuck between your teeth.
  4. Certain essential oils possess pain-relieving qualities, including clove, nutmeg, eucalyptus, or peppermint oil. Use a cotton swab and dilute one of these oils, then apply it to the problem tooth and/or gum area. Repeat the process as needed. This can also be done with apple cider vinegar.
  5. Similar to essential oils, peppermint tea can soothe and slightly numb the area. Swish it around in your mouth once it has cooled off for temporary relief.
  6. You may also soothe a toothache by eating Greek yogurt. You might be surprised to know that yogurt contains healthy bacteria that can help fight against pain.
  7. Crushed garlic can be rubbed on the aching area to help relieve pain. Garlic contains allicin, which slows bacterial activity. The application may burn at first but it has been known to help treat inflammation.

When it comes to preventing toothaches, you can take various measures. Always make sure you brush and floss every day, though. If you schedule regular oral examinations by Dr. Nirschl and Dr. Reck, you will decrease infections that may cause toothache from spreading.

If you’ve tried the methods listed above and your toothache hasn’t gone away, call our Brick, NJ office and we can schedule an appointment to figure out the cause of the problem and provide a solution.

Medication Can Lead To Xerostomia in Women

October 25th, 2017

Xerostomia, otherwise known as dry mouth, can be a side effect of many common medications. Drugs used for blood pressure, birth control, antidepressants, or cancer treatments may cause the dry mouth problems you’re experiencing. When you have dry mouth, you’re more likely to experience tooth decay and an increased risk of developing periodontal disease. Medication can sometimes be the cause of dry mouth in women, and lead to an increased amount of cavities.

You may not develop a cavity for years, but suddenly find more than one when you’re on medication for several months. This is due to there being less saliva in your mouth, which normally prevents bacteria from flourishing. When there is a lack of saliva flow, your mouth will be more likely to host tooth decay and be more prone to gum disease.

You may not notice it, but birth control can lead to inflammation of the gums and bleeding because of dry mouth. The condition can also emerge if you’ve undergone cancer treatments such as radiation, because your saliva glands may be damaged in the process.

Boosting saliva production is critical for treating xerostomia. Many over-the-counter saliva products are designed to help manage dry mouth. For women with severe cases of dry mouth and decay, we may recommend in-home fluoride treatments that offer extra enamel protection. This can come in the form of fluoride trays, prescription toothpaste, or a special fluoride rinse.

Other ways to relieve dry mouth include chewing sugar-free gum, limiting caffeine intake, avoiding mouthwashes that contain alcohol, sipping water regularly, using a humidifier at night, and stopping all tobacco use.

If you believe you may be experiencing symptoms of dry mouth, contact our Brick, NJ office to schedule an appointment with Dr. Nirschl and Dr. Reck. It’s wise to take medications that have been prescribed by your doctor, but it’s also smart to watch for any side effects. If you think a medication is causing you to have dry mouth, let’s figure out how to manage your symptoms as a team!

Love your new smile? Tell us about it!

October 18th, 2017

At Princeton Dental, we have been creating beautiful smiles for years. Whether you have visited Dr. Nirschl and Dr. Reck and our team for a week or for your entire life, we would love to hear your thoughts about your experience! In fact, we encourage you to leave a few words for us below or on our Facebook page!

We look forward to reading your feedback!

My mouth is dry. What can I do?

October 11th, 2017

Nobody likes a dry mouth. It is an uncomfortable and sometimes oddly unexplainable sensation that most people like to avoid. It is not a condition that automatically sends you into a panic about your health, however, a dry mouth can be a bother and something you certainly want to change if possible. So, if you find yourself in the unpleasant position of having a dry mouth, here is what you can do.

Chew Sugar-free Gum: Chewing sugar-free gum will stimulate saliva in your mouth. The chewing motion of your jaw and teeth should take care of at least some of your dry mouth problem.

Suck on Sugar-free Candy: Similarly to chewing sugar free gum, if you suck on sugar free candy it should create more saliva in your mouth and moisturize it in the process.

Cut out the Caffeine:Caffeine can contribute to a dry mouth so by limiting, or eliminating your intake all together, you may find that your dry mouth is no more.

Stop Using Tobacco Products: Tobacco is another cause of dry mouth. Whether it is smokeless tobacco products or cigarettes, if you stop using them your dry mouth will likely improve. And not to forget, these products are exceedingly bad for your oral health to begin with, so you will be doing your mouth a favor even more so.

Drink Lots of Water: It may seem obvious, but drinking lots of water will likely improve your dry mouth. This is because dry mouth is usually a sign of dehydration, so plenty of fluids will surely help.

Dry mouth can be unpleasant, but it is often easily solved by either drinking more water, or trying one of the previously mentioned techniques. If the problem still persists you can always visit our Brick, NJ office to see Dr. Nirschl and Dr. Reck. More often than not, doing one of the above will leave your mouth more moisturized than it was previously, and hopefully it will be long-lasting as well.

What do I do if I fall and loosen my teeth?

October 4th, 2017

Although teeth are strong enough to tear through food, they are also fragile. An accident such as a fall may loosen teeth or knock a tooth out entirely. When a child loses a baby tooth in this manner, no permanent damage is usually done. However, adults who loosen permanent teeth may need to visit our Brick, NJ office.

The Anatomy of a Loose Tooth

The hard external layer of teeth covers a more vulnerable interior. The center of a tooth consists of the pulp, which contains blood vessels and nerves. The entire tooth extends below the surface of the gums into the jaw. Special tissue called cementum and the periodontal ligament hold teeth in place, preventing them from moving.

When a fall or blow to the face loosens a tooth, the tissues anchoring a tooth to the jaw may be damaged. This results in a loosened tooth that wiggles in place. There may be inflammation or bleeding of the gums, which signals dental damage.

Dental Treatments for a Loose Tooth

The range of dental treatments for loose teeth varies by the severity of the problem. If your teeth are just slightly loose following a fall, it may be fine to wait a few days. Teeth often retighten on their own. Simply avoid chewing with that tooth and enjoy softer foods for a few days.

If a tooth is very loose or nearly falling out, call Dr. Nirschl and Dr. Reck immediately. Immediate placement of the tooth back into the socket is needed to ensure its survival. In general, a tooth must return to its socket within two hours or it may be lost.

In some cases, Dr. Nirschl and Dr. Reck may recommend splinting, in which teeth are joined together to strengthen them and reduce strain on an individual tooth. Tightening or straightening the tooth can restore your ability to chew regularly without stressing the loosened tooth.

Regardless of the extent of the problem, it is essential to keep the tooth clean to prevent decay. Brush carefully with a soft-bristled brush, and use mouthwash regularly to kill bacteria.

Is Coffee Damaging Your Smile?

September 27th, 2017

Coffee is one of the most popular drinks in the world. Many people have a cup, or two, or even three a day. It’s common to drink it in the morning to wake up and get ready for the day, as an afternoon pick-me-up, or just to catch up with a coworker or friend.

These days there are many different kinds of coffee flavors to enjoy, so it’s almost impossible for a person not to like it. But as delicious as coffee is, it’s worthwhile to be aware of the effects it has on our dental health.

Coffee contains a lot of tannic acid, which is what causes its dark color. Tannic acid ingrains itself into the grooves of tooth enamel, and that leads to serious stains. In addition to containing tannic acid, the fact that coffee is generally served very hot makes your teeth expand and contract, which allows the stains to penetrate even farther into the enamel.

Dr. Nirschl and Dr. Reck and our team know it’s not easy to kick the caffeine habit. If you find yourself needing a cup of joe every day, here are some helpful tips to consider:

  • Switch to decaf coffee.
  • Make it a habit to drink a glass of water with your coffee to rinse away the acid.
  • Try enjoying your coffee with a straw so the tannic acid makes less contact with your front and lower teeth.
  • Pop in a piece of gum after your coffee to help prevent a dry mouth.

If you’re feeling ambitious, you might find that setting a limit on the number of cups of coffee you have per week or even per day can be helpful. You are always welcome to contact our Brick, NJ office to discuss potential whitening options as well. We’re here to help!

Things You Should Know Before Getting an Oral Piercing

September 20th, 2017

Have you been thinking about getting an oral piercing lately? It could seem enticing because they look trendy or cool, but it’s worth know the health risks associated with oral piercing. Even if you already have one, you may learn a few things you didn’t know.

The human mouth contains millions of bacteria. Even without piercings, it’s not uncommon for people to develop an infection every once in a while. By adding an oral piercing, you increase your likelihood of getting an infection.

Many people who have piercings tend to develop the habit of touching them regularly, which is the like opening a door and yelling, “Welcome home, infections!” And because these piercings are in your mouth, particles of all the food that comes through can accumulate and eventually cause a pretty serious health situation.

It’s hard to ignore the presence of an oral piercing, so biting or playing with the site is fairly common. Doing so can lead to teeth fractures, however. While a fracture might be on the enamel of a tooth and require a simple filling, it can also go deeper, which could entail a root canal or even tooth extraction.

Other risks include hindering your ability to talk and eat, nerve damage, gum damage, and even loss of taste.

If you’re still determined to get an oral piercing, at least be aware of the time it will take to heal. It can take anywhere from four to six weeks, and can cause great discomfort during that time. Be willing to give it that time in order to lower your chances of infection.

Make sure you understand that getting an oral piercing will involve adding further responsibility to your daily dental health duties. It’s essential that you commit to regular upkeep on your end, and not just while it’s healing.

Teeth Grinding: Not just a bad habit, but a dental concern

September 13th, 2017

Perhaps you don't even know you grind your teeth. Maybe a spouse or loved one woke you up in the middle of the night and made you aware of what was happening.

For many people, teeth grinding is a habit and a mechanical reflex; when they’re awakened and informed they were grinding their teeth, they have no recollection of it at all. According to the American Dental Association, this is the nightly situation for roughly ten percent of Americans. From young children to the elderly, teeth grinding, known in the dental community as bruxism, is a serious concern.

Many people who grind their teeth in their sleep have no idea they're doing it. In fact, when they wake up in the morning they feel no jaw pain and their teeth are fine: if it hadn’t been for someone telling them about it, the teeth grinding would have gone unnoticed.

There are other people, however, who wake up with jaw pain, shoulder and neck pain, and headaches. Teeth grinding can cause a host of dental complications. From cracked teeth and receding gums to a misaligned jaw, teeth grinding is not something to take lightly.

Preventive measures are the key to combating bruxism, and a visit to Princeton Dental can set you on the path to a healthy and safe night sleep.

The Reasons for Teeth Grinding

There are many reasons for teeth grinding. For some people, it’s a habit they acquired when they were a child and never grew out of. On the other hand, some research claims that the condition is related to stress, anxiety, or some other type of psychiatric issue.

Still other studies point to everything from poor muscle control or over-eating before bed to gastro-esophageal issues. However, the root cause of the teeth grinding is less important than identifying preventive measures against it.

Common solutions to teeth grinding include:

  • Wearing a protective nightguard
  • Stress management techniques
  • Medications and muscle relaxers

When you make an appointment with Dr. Nirschl and Dr. Reck at our Brick, NJ office, we will assess your situation and determine what the best course of action is. Teeth grinding is a dental concern that can cause serious health issues down the road, so be sure to take preventive measures today.

What was your favorite part of summer?

September 6th, 2017

It's the end of summer, and fall is just around the corner. Soon the temperatures will cool down, the leaves will start to change, and Dr. Nirschl and Dr. Reck and our team at Princeton Dental are sure that you’ll soon be thinking about Halloween costumes and Thanksgiving plans in no time. But wait! First, we want to know about your favorite parts of the summer! Did you go on a wonderful family trip? Did you pick up a new hobby? Did you try to spend as much time outside and in the sun as possible?

Share your favorite memories, stories, or photos with us by leaving a comment below or on our Facebook page.

I’m on a diet and getting MORE cavities!

August 30th, 2017

Health gurus rave about replacing unhealthy food choices with healthy ones in your diet. If you want to maintain your beautiful smile as well as your waistline, choose foods that are good for your teeth and good for losing weight. This article will discuss some of the worst healthy foods for your teeth and gums, and what you can do to continue to enjoy them.

When watching your weight, snacks heavy in sugar and starch are the first target for elimination. You want to trade those empty calories for something with more nutritional value. A healthier snack is fruit and vegetables. When you are substituting empty calories with whole foods such as fruits and vegetables, consider a few implications for your dental health.

The most acidic fruits are grapes, grapefruit, and strawberries. Want to know the number-one worst healthy food for your tooth enamel? Apples! An apple a day may keep the doctor away but you may soon be calling your dentist.

Another healthy food often incorporated into dieting is salads. But consider what you put in those salads. Salad dressings are filled with vinegar and sweeteners. These make a salad very acidic and can change the pH of your mouth from alkaline, which is good for your teeth and gums, to acidic, which puts your smile at risk for erosion and decay.

Last but not least is diet soda. You might be cutting down on the calories but you are still putting your teeth at risk for decay. Though calories are reduced, the acid is not.

You do not need to eliminate any of these foods from your diet. Simply alter what you do after eating these foods to decrease the amount of acid your teeth are exposed to.

During your next visit to Princeton Dental in our Brick, NJ office, we can discuss your diet. We may recommend using certain products to fortify your teeth or change the way you routinely care for your teeth.

Please enjoy the wonderful whole foods that are great for a healthy waistline. A healthy waistline and a healthy smile have a positive influence on your general health. A healthier you is a happier you. The happier you are, the more you smile. Keep your smile brilliant and beautiful with the care your teeth deserve at the practice of Dr. Nirschl and Dr. Reck.

Common Emergency Care Visits: Toothaches or abscesses

August 23rd, 2017

Dental problems do not always wait for normal office hours. Broken fillings or damaged teeth are common reasons for emergency treatment. Toothaches and abscesses can also require prompt attention. Dr. Nirschl and Dr. Reck can provide you with the information and treatment you need to prevent the problem from becoming worse. Emergency dental care is only a phone call away, 24 hours a day, seven days a week.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Antibiotics are not always necessary, but you should seek treatment quickly. Left untreated, an infection can spread and cause serious complications.

Toothache

There are many reasons that you may develop a sudden toothache. The cause of the pain may be a particle of food lodged between your tooth and gum line. One of the first steps you can take is to rinse your mouth with warm water. You may also try gently flossing the area to dislodge the particle. Do not continue flossing if bleeding occurs.

Toothaches can occur from a carie — a cavity in the tooth — or from a fracture. Sensitivity to heat or cold may also cause tooth pain. You should make an appointment to ensure that a minor problem does not become serious. We may recommend acetaminophen or another pain reliever to reduce the pain before your visit.

Additional tips and treatments:

  • If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
  • A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
  • Do not apply aspirin directly on a damaged tooth or gum area as it can cause tissue irritation.
  • If you suspect that your jaw has been broken, go to an emergency room immediately.
  • If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, call us or seek other medical attention immediately.

Our team at Princeton Dental is ready to assist you when you have an emergency dental need. When you call, please provide us with as much information as possible so we can offer recommendations that will assist you until your appointment. Do not delay; emergency treatment is available and immediate treatment is the best course of action.

Understanding Dental Insurance Terminology

August 16th, 2017

If you have a hard time understanding your dental insurance plan, particularly the treatments and services it covers, you’re not alone. That’s why Dr. Nirschl and Dr. Reck and our team have put together a cheat sheet to help you through them.

It’s common for patients to get lost in the morass of the terms and phrases that surface when you’re dealing with a dental insurance plan. Knowing the commonly used terms can help speed up the process and enable you to get the most out of your coverage.

Common Terms

Annual Maximum: The most your policy will pay per year for care at Princeton Dental. It is often divided into cost per individual or per family.

Co-payment: Typically, a small amount the patient has to pay at the time of service before receiving care, and before the insurance pays for any portion of it.

Covered Services: A list of all the treatments, services, and procedures the insurance policy will cover fully under your contract.

Deductible: An amount you must pay out of pocket each year before the insurance company will contribute for any treatments or procedures. The amount can vary according to your plan.

Diagnostic Services: A category of treatments or procedures that most insurance plans will cover before the deductible, which may mean services that occur during preventive appointments with Dr. Nirschl and Dr. Reck, including X-rays or general screenings.

Exclusions: Dental services not covered under a dental benefit program.

In-Network: An insurance company will usually cover a larger portion of the cost of the care if you see an in-network provider for treatment.

Out-of-Network: If you visit someone who is not a part of your provider’s network, the insurance company may pay for a portion of the care, but you will be responsible for a significantly larger share out of your pocket.

Lifetime Maximum: The most that an insurance plan will pay toward care for an individual or family over the entire life of the patient(s).

Limitations: A list of all the procedures the insurance policy does not cover. Coverage may limit the timing or frequency of a specific treatment or procedure, or exclude some treatments altogether.

Member/Insured/Covered Person/Beneficiary/Enrollee:  A person who is eligible to receive benefits under an insurance plan.

Premium: The regular fee charged by third-party insurers and used to fund the dental plan.

Provider: Dr. Nirschl and Dr. Reck or other oral-health specialist who provides treatment.

Waiting Period: A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments.

It’s essential to understand the various insurance options available to you. Knowing what your insurance covers can save you major costs in the future.

Dr. Nirschl and Dr. Reck and our dental staff hope this list of terms will help you understand your dental insurance plan better. Be sure to review your plan and ask any questions you may have about your policy the next time you visit our Brick, NJ office.

A Variety of Dentures to Meet Your Needs

August 9th, 2017

With advancements in prosthetic dentistry, patients are now able to wear dentures that are comfortable, natural looking, and long lasting. There are different options to choose from that will meet your individual needs, whether you have a few teeth missing or have lost all of your teeth. Dr. Nirschl and Dr. Reck will be able to help you decide which denture option is best for you.

Partial Dentures

Patients who receive partial dentures have some of their original teeth still in place and therefore only need a partial to replace the missing teeth and keep their existing teeth from moving. It also makes sense that patients need them to be able to eat comfortably. All dentures are made from porcelain or plastic and are made with comfort in mind.

Complete Dentures

If you have suffered from complete tooth loss, you would typically receive complete dentures. Immediately after you have your teeth extracted you will leave the dentist office with a set of temporary dentures. These will be worn for a few months while your mouth heals. After this initial wait time, your conventional or permanent dentures will be ready to be fitted.

Implant-Supported Dentures

Implant-supported dentures involve a more invasive procedure, but are also permanent. A select number of implants are placed into the jaw. The denture is then attached to the implant posts. You will be able to chew normally and maintain normal dental hygiene, like brushing and flossing.

Dr. Nirschl and Dr. Reck will be able to advise on which kind of denture would be the best based on your individual needs. Contact our Brick, NJ office to schedule an appointment!

How can veneers improve my smile?

August 2nd, 2017

Dr. Nirschl and Dr. Reck and our team at Princeton Dental know your smile is an important part of your appearance; it can be a source of pride or embarrassment. Everyone deserves beautiful, straight teeth that complement their features, but few are born with natural dental perfection. Fortunately, cosmetic dentistry has come a long way in recent years, with veneers making it possible to make over your smile completely.

With dental veneers, the smile of your dreams can become a reality. These thin, wafer-like shells are crafted of porcelain and completely customized to fit your smile. Once your tooth size, shape, and color have been determined, veneers are adhered to the surface of your natural tooth, instantly transforming your appearance. What used to be a secret of the rich and famous is now highly accessible to dental patients around the world.

Benefits of dental veneers

Appearance

Dental veneers are very natural in appearance and virtually undetectable to other people. Their non-porous surfaces make them resistant to staining, which ensures they do not change color over time.

Improvements

Dental veneers can be used to improve the appearance of many kinds of imperfections. In fact, an entirely new smile can be crafted from veneers, to cover up chipped teeth, discoloration, and gaps between teeth.

Durability

Veneers are long-lasting cosmetic enhancements that can survive many years with appropriate care and maintenance. They are specially fabricated to be resistant to scratches and chipping, which makes them a practical solution for the average person.

Flexibility

Dental veneers are highly adaptable. You can opt for only a single veneer to repair a chipped or cracked tooth, or you can modify multiple teeth at once for a smile makeover.

Considerations

Keep in mind that cosmetic treatments like dental veneers are secondary to primary dental care. You must have healthy teeth and disease-free gums to be a candidate for cosmetic procedures. An initial consultation at our convenient Brick, NJ office will reveal any underlying decay or other problems that must be addressed prior to getting veneers. Give us a call today!

What is gingivitis, and how can I treat it?

July 26th, 2017

Gingivitis is an early stage of gum disease that results when bacteria in your mouth cause inflammation in your gums. This is a common condition, and you can treat it effectively if you are aggressive. Otherwise, it could develop into more advanced gum disease, or periodontitis, and you could lose one or more teeth.

Watch for symptoms of gingivitis so you can ask Dr. Nirschl and Dr. Reck for help as soon as you need it. Strategies for treating gingivitis include thoroughly cleaning your teeth and assessing the scope of your gingivitis and how serious the problem is.

Gingivitis: Early Gum Disease

Your mouth contains many bacteria that form plaque, which is a sticky substance. You can get rid of plaque by brushing well, but if you don’t, it can build up on your teeth and form tartar. Bacteria can make your gums inflamed and cause pain and bleeding, or gingivitis. Other symptoms include loose teeth, bad breath, receding gums, and sensitive teeth. You’re at higher risk for gingivitis if you’re a smoker, if you have a weakened immune system, or if you have diabetes.

Assessment and Diagnosis

If you think you recognize the symptoms of gingivitis, contact our Brick, NJ office to make an appointment. We will ask you about your risk factors for gingivitis and examine your teeth and mouth for signs of red and swollen gums. We may also measure the pockets around your teeth. If they are larger than usual, your gingivitis may be more advanced. Finally, will take some X-rays to get a picture of the bone structure of your jaw.

Deep Cleaning

You can’t get rid of the tartar on your teeth just by brushing at home. Instead, you need a deep cleaning consisting of scaling and root planing. Scaling involves scraping the plaque off of your teeth, both below and above the line of your gum. In root planing, the rough surfaces of your teeth where tartar is more likely to build up are smoothed. A laser may be used to make the procedure more effective, more accurate, and more comfortable.

Dangers of Alcohol and Oral Health

July 19th, 2017

We often have patients who ask, “Can drinking alcohol affect my oral health?” There are, in fact, a few reasons why that martini may not be good for your pearly whites.

In addition to creating an overly acidic environment in your mouth, alcohol severely dehydrates oral tissues because of its desiccant and diuretic properties. Because alcohol saps oral tissues of their moisture so readily, saliva glands can't keep enough saliva in the mouth to prevent dry mouth. In addition, saliva contains antibacterial properties that inhibits growth of anaerobic bacteria, a destructive type of oral bacterial responsible for tooth decay, gingivitis, chronic bad breath, and periodontitis.

What are anaerobic bacteria?

When there is a lack of saliva flow in the mouth and the mouth cannot naturally cleanse itself of oral debris (food particles, dead skin cell, mucous), conditions develop that promote activity of anaerobic bacteria, or bacteria that thrive in dry, airless places. These anaerobes also flourish when an unending supply of proteins (food debris) are available to consume, creating rapidly multiplying layers of plaque that stick to teeth and demineralizes tooth enamel unless removed by brushing and professional dental cleanings.

Oral Cancer and Alcohol

Acetaldehyde is a chemical compound leftover after the liver has metabolized alcohol. Capable of causing genetic mutations, acetaldehyde is also a known carcinogen that contributes to the ill feelings of hangovers. Although most metabolism of alcohol is done in the liver, evidence shows that metabolism also occurs outside the liver and that enzymes in the mouth could encourage accumulation of acetaldehyde in oral tissues.

When combined with poor oral health, smoking, and other detrimental lifestyle factors, alcohol may be considered a primary contributory factor in the development of oral cancer.

Even if you don't drink or drink only occasionally, remaining aware of symptoms that may indicate oral cancer will improve your chances of recovering successfully when you start treatment in the early stages of oral cancer. Signs include red or while speckled patches in the mouth, unexplained bleeding, lumps/swellings, chronic ear or throat pain, and areas of numbness in the mouth or on the face.

If you have any questions about alcohol and its connection to oral health, don’t hesitate to ask Dr. Nirschl and Dr. Reck at your next visit to our Brick, NJ office.

More Adults Are Opting for Invisalign®

July 12th, 2017

These days it's becoming more and more common to see adults at our Brick, NJ office getting their teeth straightened with Invisalign clear aligners — that is, if you can see them! Treatment with Invisalign is effective and aesthetically pleasing for all ages, but adults have certainly taken to them.

For some it may be to overcome the stigma that "braces are just for kids," but for others it may be the displeasing appearance and discomfort of traditional braces. According to the American Association of Orthodontics, from 1994 to 2010 the number of adults 18 and older getting braces increased by 58 percent, from 680,000 to 1.1 million annually. Many of these adults opt for Invisalign because of how discreet they are and since they don't need to avoid any foods or make dietary changes like you do with traditional braces.

The benefits of getting your teeth into proper alignment are many, and so are the advantages of Invisalign. By following your individual course of Invisalign treatment, you can expect to enjoy the following benefits over traditional braces:

  • The total treatment time is more precise with Invisalign since your treatment is modeled by a computer, as compared to traditional braces where it is really just an estimate.
  • You'll need to make fewer trips to our Brick, NJ office since you can change your trays on your own every few weeks or as prescribed.
  • There's less risk to the health of your tooth enamel since there is no need to place brackets on your teeth.
  • Invisalign aligners are clear and practically invisible, so most people won't even know you're wearing them!

If you're interested in Invisalign treatment, please let Dr. Nirschl and Dr. Reck know. We'd be happy to help you on your journey to a straighter, healthier smile!

Don’t let a dental emergency ruin your summer vacation!

July 5th, 2017

For many of our patients at Princeton Dental, summer means a season of relaxation, vacation, and outdoor fun and activities. While you can’t take a vacation from dental emergencies, you can always be prepared for anything that can happen. Today, Dr. Nirschl and Dr. Reck and our team thought we would give our patients a few tips on handling a dental emergency when you’re far from home (and our office).

Throbbing Toothache – Try brushing and flossing to ease the pain; the issue could be simply that a piece of food is nestled in an uncomfortable spot between your teeth. If that is the case, try to gently remove the object with dental floss. If it still hurts, stick to soft foods, try an over-the-counter pain reliever, or dip a cotton ball in clove oil and insert it on the affected area until you can get to a local dentist.

Bitten Lip or Tongue – Clean the area gently with a cloth and apply cold compresses to reduce swelling. If the bleeding doesn’t stop, go to a hospital emergency room immediately.

Lost Filling or Crown – Dental wax will work to keep the sharp edges of your tooth from bothering you. If you can, save the crown or filling, and if you happen to have denture adhesive handy, you can use it to temporarily reattach the crown until you can get to a local dentist.

Broken Tooth – Hold the tooth by the crown and rinse off the root of the tooth in water if it’s dirty. If possible, gently insert and hold the tooth in its socket. If that isn’t possible, put the tooth in a cup of milk and get to a local dentist as quickly as possible.

Broken Jaw – Apply cold compresses to control swelling. Visit a hospital emergency room as soon as possible.

If you have a dental emergency after regular office hours and you happen to be in town, please give us a call. If you are calling us after hours, please follow the emergency prompts to contact Dr. Nirschl and Dr. Reck.

Invisalign® and Invisalign Teen®

June 28th, 2017

There are so many adults and teens in our Brick, NJ office who would love to have their teeth straightened but that are unwilling to go through the long and unsightly process of traditional metal braces. Well, that's where Invisalign® and Invisalign Teen® come to the rescue; the most advanced clear aligner systems in the world!

There are several reasons why, if you're considering getting braces, you should consider Invisalign too. Here are some of them:

  • You can eat whatever food you'd like, without worrying about it getting caught in wires or breaking brackets.
  • Most people won't even know you're wearing them!
  • If you need to, you can remove your aligners at any time.
  • The removable aligners let you brush and floss as you normally would, making for better overall oral health.
  • Since they are made of a smooth BPA-free plastic, Invisalign aligners are simply more comfortable to wear than traditional braces. No metal means no more roughed up gums or irritated tongue!
  • You'll need to visit our Brick, NJ office less often — only once every six weeks or so.
  • With Invisalign Teen, you’ll receive up to six replacements for lost or broken aligners.

Before you get started with treatment, you’ll have a consultation with Dr. Nirschl and Dr. Reck to see if Invisalign or Invisalign Teen is right for you. If your case is a good fit, then you’ll have X-rays, pictures, and impressions of your teeth taken. That information will be used to make the 3D models of your teeth that let Dr. Nirschl and Dr. Reck see how they will move throughout the entire treatment and approximately how long it will take.

After that, you’ll receive your aligners based on the treatment plan we recommend. You’ll get a new set of aligners every two weeks. Then all you need to do is wear your aligners 22 hours a day and you’ll be on your way to a straighter healthier smile. Don’t hesitate to a member of our Brick, NJ team for more information about Invisalign!

Improve your oral health with xylitol!

June 21st, 2017

Xylitol tastes sweet, but unlike sugar, it is not converted to acid that can cause your teeth to decay. It’s a naturally occurring sweetener found in plants, fruits, and vegetables; even the human body produces it in small amounts. Xylitol is widely used in sugar-free chewing gum, mints, candies, and even certain forms of medicine.

The World Health Organization has approved xylitol because only a small amount is needed for its health benefits. It’s even safe for diabetics, with a glycemic index of only seven. Xylitol has 40% fewer calories than other types of carbs: less than three calories per gram.

So how can this natural sweetener benefit your oral health? Take a look at the facts. Tooth decay starts when bacteria consumes the sugars left in your mouth. When you eat sugary foods, the bacteria on your teeth will multiply and make acid that can destroy your enamel.

Xylitol is derived from fibrous parts of plants, so it does not break down like a regular sugar. It actually helps maintain a neutral pH level in the mouth, which in turn prevents bacteria from sticking to the teeth. The bacteria are then unable to digest xylitol, which means your teeth won’t develop enamel damage and cavities.

Studies have shown the consumption of xylitol as a sugar substitute or a dietary addition had a dramatic reduction in new cavities and even reversed existing cavities. These effects are long lasting: low cavity rates remained years after the trials were done.

When there’s less bacteria and acid in your mouth due to xylitol, your teeth stay healthier. The more frequently it’s ingested, the more you will prevent enamel damage.

Aim to consume around five grams a day, or one gram every three hours if possible. You can do this by consuming gum, tablets, candy, or mints that have xylitol as one of the first ingredients after your meals. You can find these products in health food stores and specialty grocery stores.

Since xylitol replaces sugar on a one-to-one ratio, it’s used in several common items:

  • Toothpaste
  • Mouth rinse
  • Baby oral wipes, gel, and pacifiers
  • Nasal wash
  • Dry mouth spray
  • Granulated forms for cooking
  • Granulated packets to add to drinks
  • Commercially prepared foods

Make sure to pick up items that contain xylitol the next time you’re at the store! This is an easy way to maintain great oral health. If you have specific questions about xylitol, ask Dr. Nirschl and Dr. Reck during your next appointment at our Brick, NJ office.

DIY Cures for Bad Breath

June 14th, 2017

Are you afraid to open your mouth because you have bad breath? You’re not alone bad breath or Halitosis happens to everyone, at one time or another. If you have chronic bad breath there could be a number of reasons, including:

  • Gum disease
  • Sinus problems
  • Bacterial infection in your mouth
  • Stress
  • Strong odor from something you ate
  • Dry mouth

The good news is, none of the causes of bad breath are serious, and they can all be treated. There is a long list of DIY home remedies that have proven effective. Before you try any of them you should be evaluated by Dr. Nirschl and Dr. Reck to make sure you do not have a serious oral infection. Of course, you should also always practice good oral hygiene. If you go a week without brushing your teeth, your bad breath is going to be horrible!

1. Cinnamon Mouthwash

Cinnamon is known to help prevent bacteria in your mouth, and lemon has strong citrus properties that will eliminate your bad breath problem.

Preparation

  • Put a half teaspoon of cinnamon in a jar or bottle that has tight fitting lid.
  • Next add the juice from two lemons freshly squeezed lemons.
  • Combine all of the ingredients in a cup of lukewarm water and pour into your jar.
  • Shake the jar well and set it aside for two to three hours.
  • Before using the mouthwash always shake it well.
  • Gargle and swish one to two tablespoons of the mouthwash for about a minute

2. Tea

Black and green tea are beneficial in prevent bad breath. Black tea aids in controlling plaque and bacteria that can cause bad breath. Green tea contains antibacterial properties that fight off the natural occurring germs in your mouth, keeping your breath fresh. Both black and green tea contains polyphenol, a property that can prevent the formation of the foul odor caused by bacterial growth.

Preparation

  • Steep a black of green tea bag in one cup of hot water and drink one to two cups a day to keep your bad breath away.

3. Tea Tree Oil

Tea tree oil contains natural antiseptic and anti-fungal properties that help kill bacteria and fungi in your mouth, caused by particles of food left behind.

Preparation

  • You will need one teaspoon of tea tree oil, peppermint oil, and lemon oil.
  • Combine all three in eight ounces of lukewarm water and stir well. Use daily as a mouthwash to get rid of your bad breath.

Summer Break: An ideal time for wisdom teeth removal

June 7th, 2017

After your son or daughter departs for college, the last thing you want to get is a call or text to learn he or she is in pain. Dr. Nirschl and Dr. Reck and our team at Princeton Dental will tell you there aren’t many emergency situations that can be avoided when it comes to dental health, but one crisis that can easily be prevented before your teen heads hundreds of miles away for college is wisdom tooth extraction.

What are wisdom teeth?

Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. Wisdom teeth can go from barely noticeable to extremely painful in a very short period of time.

When your teen’s wisdom teeth erupt, they may cause overcrowding of his or her teeth, which can have a negative effect on their alignment. Most people’s mouths do not have enough room for wisdom teeth to erupt fully and remain perfectly aligned. Thus, pain, swelling, infection, damage to adjacent teeth, and decay are often the most common problems associated with wisdom teeth. These problems can brew beneath the surface for weeks or months, offering no warning before painful symptoms hit.

If your child does elect to go through wisdom tooth extraction, we want to inform you that the first few days of recovery consist of careful measures to control bleeding and swelling, an adherence to a special soft diet, as well as a medication routine that must be followed as recommended by Dr. Nirschl and Dr. Reck after surgery.

Dr. Nirschl and Dr. Reck and our team are dedicated to providing exceptional service before, during, and after your wisdom tooth procedure, so you can have peace of mind knowing that your child’s oral health is in good hands. We will do everything we can to minimize discomfort and help your child heal safely and quickly.

Summer break is the perfect time to remove wisdom teeth so that your child can avoid the stressful scenario of experiencing this medical emergency far away from home. If you have any questions on wisdom teeth removal or to schedule an initial consultation with Dr. Nirschl and Dr. Reck, give us a call today!

How do I handle my child’s dental emergency?

May 31st, 2017

With children undergoing developmental dental changes and engaging in rough-and-tumble activities, dental emergencies can sometimes arise. If your child knocks out a tooth or experiences any type of oral discomfort, call Princeton Dental right away so we can provide you with a quick assessment and pain-free treatment.

Before an emergency occurs, it’s a good idea to stay informed about the problems your child may encounter. Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Typically occurring in babies that are between four months and two and a half years old, teething may cause excessive drooling, tender gums, and some irritability. Giving your baby a cold teething ring or gently rubbing her gums with wet gauze or your finger may also make her feel better.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. On the other hand, if your child’s baby tooth is knocked loose, schedule an appointment with our office so we can assess whether any damage has been done.

Issues with Permanent Teeth

Sometimes a child’s permanent teeth will grow in before the baby teeth have fallen out. Even if this condition isn’t causing any discomfort, you should schedule an appointment with our office so we can determine whether your child’s permanent teeth are growing in correctly.

Bleeding Gums

Bleeding gums can result from a number of factors, including periodontal disease, rough brushing, or an injury to the gum tissue. If your child’s gums are bleeding heavily, call our office right away so we can address the situation. If you have time before your appointment, wash your child’s mouth with salted water and gently put pressure on the affected area.

Regardless of the type of dental issue your child has, you can always consult Dr. Nirschl and Dr. Reck for further guidance. We make sure our emergency services are available 24 hours a day and seven days a week, so you have ready access to convenient and professional dental care that will have your child feeling better in no time.

Memorial Day: Parades, remembrance, and the unofficial start of summer!

May 24th, 2017

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Princeton Dental wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Brick, NJ area or beyond, Happy Memorial Day to you and yours from Dr. Nirschl and Dr. Reck!

Dentistry around the World

May 17th, 2017

From the clinical perspective, dentistry is similar around the world. Dentists, like Dr. Nirschl and Dr. Reck, go to school, obtain a license, and work hard to prevent and treat tooth decay, gum disease, oral infections, throat or oral cancer, tooth loss, and other conditions that might limit a person’s ability to smile, bite, chew, or speak. The quality of dental care, however, and the payment method for dental services varies between nations.

Dentistry throughout the World

Developed countries have more dentists per capita than do developing nations, according to the World Health Organization. There is one dentist for every 150,000 people in Africa, for example, as compared to about one dentist for every 2,000 citizens of an industrialized nation. The lack of dentists in developing nations means that dental care is restricted to pain management and emergency care.

Dentistry often reflects the cultural views of a nation. Some cultures acknowledge only the functional aspect of teeth, so dentists focus on preventing tooth decay, gum disease, and tooth loss. Other cultures emphasize aesthetic appearances, so dentists there provide cosmetic procedures in addition to essential oral care.

Each nation imposes its own education and licensure requirements for dentists but most require some college before four years of dental school. The graduate must then pass local or national exams to practice in that region. European schools and standards are similar to the United States.

From the business perspective, dentistry varies between nations. In the United States, a dentist presents to the patient one bill that includes all of the treatment costs, such as the dentist, his assistant, tools, and labs. This allows the dentist to charge a single, easy-to-pay fee for individual procedures, and gives him an opportunity to mark up items and make a profit.

Across much of Europe, a dentist presents two bills to her patient – one for the dentist and another for the lab. This approach may stem from a cultural belief that profiting from healthcare is unethical and that healthcare should be available to consumers at actual cost; public dental clinics and subsidies ensures all citizens have access to dental care, regardless of ability to pay. In most cases, the government is both overseer and provider of dental care.

While the role of the dentist is nearly the same in every country – to ensure the oral health of the citizens – dental care is different in each nation. Regardless, you can rest assured that the care you receive at our Brick, NJ office is held to the highest standard.

Quit Smoking to Save Your Smile

May 10th, 2017

You’ve likely heard that smoking increases risk of lung cancer and emphysema. But did you realize that your cigarette habit also has an impact on your smile? Chronic smokers suffer from increased dental problems that make their smiles unsightly. Understanding how smoking affects your oral health may provide the momentum you need to kick the habit for good.

Cosmetic Changes Associated with Smoking

Cigarettes contain more than 600 ingredients that, when lit, create in excess of 4,000 chemicals. Of these chemicals, many are known carcinogens while others have been shown to have serious negative effects on health. The nicotine and tar in tobacco products are absorbed by the enamel of your teeth. The result is yellowed teeth that look unsightly; with heavy smoking, your teeth may eventually turn nearly brown in color.

The chemicals in cigarettes and cigars also cause your teeth to become less clean. Smoking is associated with a build-up of tartar and plaque on the surface of your teeth. Over time, this increases your risk of developing cavities and other oral health problems. Furthermore, pursing your lips while smoking leads to wrinkles around your mouth, which detracts from your smile.

More Serious Dental Conditions

In addition to having unsightly teeth, smoking can cause serious health conditions. Because of the carcinogens in cigarettes, smoking is associated with an increased risk of oral cancer, which can be deadly. Smokers are also more likely to develop gum disease, which can lead to tooth loss. You may experience an increased loss of bone within your jaw, which will cause significant problems later in life.

Treatment for Smoking-Related Oral Health Problems

Dr. Nirschl and Dr. Reck and our team at Princeton Dental will tell you that the best defense against smoking-related oral health problems is to ditch your nicotine habit. By decreasing the amount of nicotine and other chemicals you consume, you can decrease your risk of oral cancer and gum disease. Remember to mention your smoking habit when you’re at our Brick, NJ office. We frequently treat smokers and can recommend smoking cessation programs to help you quit. Dr. Nirschl and Dr. Reck can also advise you about whitening treatments and gum disease prevention activities that ensure you’ll have a beautiful smile for years to come.

The Secret to Fresh Breath

May 3rd, 2017

Bad breath: We’ve all dealt with it. You’ve been around people who have it and, like it or not, you have had it yourself. It can be embarrassing and uncomfortable, but how do you know if you have it? There is actually a simple test you can do to see if you have bad breath.

Wash your hands well, then put your finger in your mouth, way in the back. Scrape a little saliva from the back of your tongue, and then dab it on the back of your hand. Wait for one minute, then hold your hand to your nose and sniff. Is it fresh as a daisy? Or do you need to keep reading and learn how to freshen your breath?

How Bad Breath Starts

There are several ways that bad breath starts. Knowing the causes of bad breath is a solid start toward the cure.

  • The bacteria in your mouth: Bacteria is always in your mouth. It covers your gums, hides between your teeth, and hangs out on your tongue. As it multiplies, it produces toxins that cause the foul odor in your mouth.
  • Your bad habits: If you smoke cigarettes, a pipe, or cigars, or chew tobacco, you are not only harming your mouth and body, you are creating some really smelly breath.
  • Your tonsils: If you still have your tonsils, they can be the cause of bad breath. They are pitted, so smelly substances can collect in the pits and lead to bad breath.
  • Stomach issues: A stomach virus, ulcer, GERD, and other stomach issues could be the cause of your bad breath. A low-carb diet can put your body into a state of ketosis, which causes very bad breath.
  • The foods you eat: Garlic, onion, and other pungent foods will linger with you … on your breath.

Tips for Busting Bad Breath

Achieving fresh breath isn’t difficult, but it does require a little work. Try these tips for fresher breath and a healthier mouth.

  • Brush your teeth after every meal. You can also pick up a tongue scraper to use a couple of times a day to remove any lingering bacteria on your tongue.
  • Floss once a day to remove food particles between your teeth as well as plaque. Your mouth will thank you.
  • Gargle with special mouthwash to banish bad breath. The oxygen in it will kill the bacteria in your mouth that is causing your bad breath, and leave you fresh as a daisy!
  • Drink water to avoid dry mouth, which is a common cause of bad breath.
  • Ease your tummy troubles with antacids and other remedies. Ginger tea is a great tummy tamer.
  • Chew gum that contains xylitol. Saliva keeps your mouth moist, and chewing gum makes you salivate. Bye bye, bad breath!
  • Eat yogurt. It contains “good” bacteria that helps balance your gut and gives you a healthier mouth.
  • Soothe your sinuses. Sinus infections can cause you to have bad breath. Actually, it is the post-nasal drip that causes the foul odor. Cure the infection and your breath will improve.
  • Avoid all tobacco products (cigarettes, pipes, cigars, chewing tobacco, and snuff).
  • Eat a healthy diet of fresh fruits and vegetables, lean meats, and whole grains.

And don't forget! Get regular dental checkups at Princeton Dental.

Regular Cleanings Lead to Healthier Mouths and Bodies

April 26th, 2017

The American Dental Association and dentists everywhere, including our own Dr. Nirschl and Dr. Reck recommend that you schedule an appointment every six months for a cleaning and checkup. Despite this universal recommendation from the experts, some people believe regular cleanings and checkups are unnecessary unless there is something wrong with your teeth—for example, a cavity or a toothache. In fact, coming in for a six-month checkup and cleaning is one of the most important things you can do for your oral health, as well as your overall health.

Why It’s Important to Visit Regularly

Numerous studies have shown that oral health is closely tied to the overall health of your whole body. In fact, having a healthy mouth can help the rest of your body stay in balance. On the other hand, an unhealthy mouth can cause all kinds of problems for you down the road.

One of the most important things we do at Princeton Dental when you come in for cleanings is remove plaque that has collected on your teeth and around your gums. If left untreated, plaque build-up can cause inflammation and irritation around your gums, and lead to gum diseases like gingivitis and periodontal disease.

According to the American Academy of Periodontology, periodontal disease has been linked to increased risk for serious health conditions such as heart disease, stroke, diabetes, inflammation, osteoporosis, and pregnancy complications.

Most oral health issues will begin with subtle changes before progressing into more serious conditions. If you visit us for regular checkups, we may be able to identify common indicators that could lead to larger issues down the road. If we only see you at our office every few years, it becomes more difficult to catch these conditions before they grow into bigger and more painful problems.

What happens at a dental checkup?

When you come in for your regular checkup, there are several things our dentists and hygienists may do, including:

  • Take X-rays to determine the overall health of your teeth, jaw, bones, and the tissue surrounding your teeth, including a check for early signs of tooth decay, abnormal growths, cavities, and other damage that is not immediately visible
  • Perform a thorough cleaning of your mouth and teeth to remove any excess plaque and tartar, then polish and floss your teeth
  • Check for signs of gum disease or evidence of tooth decay
  • Examine your bite, and look for broken or damaged teeth
  • Identify any changes to your gums or teeth since your last visit
  • Examine your head and neck for signs of oral health problems

Waiting to visit Dr. Nirschl and Dr. Reck until you already have a problem, like a cavity, is like waiting to put gasoline in your car until after you run out and your vehicle is stalled on the side of the road. Once you have a problem, the ripple effect can cause you a lot of pain, take considerably more time, and cost a lot more money to fix than if you had come in for preventive care and cleanings every six months.

References: American Academy of Periodontology (2012). Gum Disease Links to Heart Disease and Stroke. Retrieved from http://www.perio.org/consumer/mbc.heart.htm

Every Day is Earth Day

April 19th, 2017

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

  • Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
  • Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
  • Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
  • Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at Princeton Dental wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

Top Five Things to Keep Your Dentist Smiling

April 12th, 2017

Come say hello twice a year. The American Dental Association says two times is the charm. Multiple visits a year lets us keep an eye out for any developing issues. It’s important to remember that this goes for the whole family. Children over one year old should be seeing Dr. Nirschl and Dr. Reck!

Stay fresh. At Princeton Dental, we have a virtually unlimited stock of toothbrushes and floss, which means you have no excuse to be using a sad, ineffective toothbrush. As soon as bristles begin to fray, pick up a new one or stop by our Brick, NJ office and we’ll replace yours. On average, you should be opening a new one every two to three months.

For goodness sake, floss! Flossing is an efficient way to keep your whole mouth healthy. It not only protects your teeth by removing aggregated plaque, it keeps your gums happy, too.

And brush. Practicing regular healthy habits is essential to keeping your mouth—and us—happy! When it comes to brushing that means two minutes, two times a day. If your kids need some encouragement, try making a calendar or playing a song like this.

Tell a friend. One way you can help us is by spreading the love. Tell your friends about what a good thing we’ve got going here. The more the merrier. And the healthier.

The Importance of Regular Dental Checkups

April 5th, 2017

When was the last time you paid Dr. Nirschl and Dr. Reck a visit? If you're like many people, chances are it was more than six months ago. We hear the reasons why people neglect regular dental visits all the time: lack of money or quality dental insurance, busy schedules, and fear. However, your twice-yearly checkups are so important for your dental health and for your overall health as well.

You may brush your teeth twice a day and even floss, and your teeth may feel fine, but regular dental checkups with Dr. Nirschl and Dr. Reck aren’t about addressing problems and reacting — they are about cavity prevention. No matter how much you brush and floss, there is still a chance that food or other debris can get lodged between your teeth, and there is also a chance that food and beverages can wear down your tooth enamel in between visits, making your teeth vulnerable to decay.

In addition to a thorough teeth cleaning and polishing, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It's important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Princeton Dental is the best way to hit all the spots you may have missed with brushing and flossing and prevent any problems that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you’re overdue for your next cleaning, please give us a call to schedule an appointment at our convenient Brick, NJ office!

Three Must-Have Dental Treatments

March 29th, 2017

In dentistry, there are a wide variety of treatments, everything from elective procedures to those that are necessary and potentially lifesaving. So given the slew of treatment options, how do you choose what’s right for you? Our experts at Princeton Dental have handpicked the three must-have procedures that we believe can benefit nearly every patient.

The first: A complete periodontal exam. If you are going to the dentist for scheduled cleanings, this exam should happen at least once a year. A periodontal exam is quick and relatively painless. The dentist or hygienist will carefully probe around each tooth to take measurements that show the health of the bone and its supporting tissue, all while looking for signs of any active infection. It has been suggested that there is a link between periodontal (gum) disease and the increased risk of some potentially fatal diseases such as heart disease, stroke, and diabetes. Signs of some diseases show up in the mouth sometimes before the patient is aware of changes in the body. Diabetes is one of these silent diseases. Many Americans are unaware that they have the disease until sudden and severe changes in the periodontal health of the teeth lead to a trip to the patient’s physician. And did you know that more adults lose teeth to periodontal disease than to cavities? A simple screening once a year can lead to saving your teeth.

The second treatment our team at Princeton Dental recommends is a dental sealant; it’s not just for kids! Dental sealants provide a protective barrier from bacteria deep in the pits and grooves of the teeth where cavities often start. Sealants placed in childhood will often wear away in adulthood. Replacing a sealant as an adult can also help prevent decay in adulthood. This is a great cost-effective procedure for adults. Dental insurance will likely not cover sealants as an adult, but the cost of a sealant for prevention versus the cost of a filling is much less.

Our third must-have dental treatment is often the most fun: in-office whitening. Who doesn’t want an instantly dazzling smile? In-office whitening is one of the most dramatic and quick ways to brighten a smile. It will take a few years off your age in a two-hour period of time. Whitening is very safe and can give a patient newfound confidence to smile.

How does a tooth decay?

March 22nd, 2017

When acids are allowed to erode tooth enamel long enough to leach calcium and other minerals from your enamel and dentin, a process called demineralization occurs. This rapidly leads to tooth decay unless reversed by good oral hygiene and professional dental cleanings at our Brick, NJ office. Acids responsible for tooth decay come from the wastes of mutans streptococci and lactobacilli bacteria that thrive in dental plaque, a substance that is the leading cause of periodontitis.

Where do demineralizing acids come from?

Dietary sugars comprise the bulk of tooth-decaying acids, including table sugar, cooked starches, fructose, glucose, and lactose. In fact, as soon as you bite down on a sugary cookie or into a French fry, bacteria start digesting sugars, breaking them down and eventually excreting them as demineralizing acids. As this bacteria colony grows and becomes organized, plaque develops and forms that tough, yellowish coating you often see on the tops of teeth at the gumline.

Plaque is the Problem

Dental plaque is a filmy type of nesting place for bacteria that also keeps acids pressed against tooth enamel. Since plaque cannot be removed by brushing, it is important that a person who suffers tooth decay visit Princeton Dental immediately so we can use special tools to scrape and thoroughly clean teeth.

Signs of Tooth Decay

Early tooth decay and cavities remain asymptomatic until demineralization creates a hole deep enough to reach the tooth’s inner tissues and nerve endings. Eventually, tooth decay will cause tooth sensitivity, toothache, vague pain when biting down on the affected tooth, and possibly pus seeping around a tooth’s gum line if the decay creates an infection. If treatment is delayed long enough, a decaying tooth may loosen, crumble, and ultimately fall out, which leaves an empty or partially empty socket.

Preventing Tooth Decay

Getting regular checkups with Dr. Nirschl and Dr. Reck, brushing and flossing twice a day, and eating fruits or crunchy vegetables at snack time instead of a candy bar or doughnut are the three best ways to keep your teeth healthy, white, and where they should be: in your mouth.

St. Patrick's Day

March 15th, 2017

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

  • Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
  • Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
  • The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
  • Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Dr. Nirschl and Dr. Reck - have a great St. Paddy’s day!

The Secret to Lifelong Teeth Whitening

March 8th, 2017

Have you ever noticed your attention being instantly drawn to peoples’ teeth when they smile at you? Some people have dull and yellowing teeth, while others have teeth that appear bright white. Everyone’s teeth naturally dull over time because of aging and the contact your teeth have with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can help you keep your teeth white for life.

Get Regular Treatments

The effects of teeth whitening or bleaching treatments are only temporary, so regular treatments at Princeton Dental are necessary to keep your teeth white for life. Bleaching too frequently, though, can wear away your tooth enamel. The effects of in-office bleaching can last for several months to a year, while you may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach, so you can use them daily. The American Dental Association suggests asking your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white, according to the American Dental Association. Your teeth may naturally be a light yellowish color that lends itself well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Your teeth whitening efforts will not be as effective if your teeth are in poor health. Visible fillings, implants, or bridges that are metallic stand out against the white color you want to achieve. You can help prevent tooth decay and reduce your risk of needing these unsightly treatments by maintaining a good oral hygiene routine. In addition to brushing your teeth twice a day to remove dirt and potential staining agents, the actions below can promote a healthy mouth.

  • Floss every day
  • Visit Princeton Dental regularly
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages, especially between meals

March is National Nutrition Month!

March 1st, 2017

While you don’t have to wait to start eating right, March is the month the Academy of Nutrition and Dietetics asks everyone to pay special attention to what goes into our bodies. The Academy has designated the month of March for focusing the public’s awareness on what they eat.

What Not to Eat

The academy points out that the foods you eat have a direct effect on the health of your teeth and specifically on tooth decay. Bacteria rely on carbohydrates to thrive. That is why Dr. Nirschl and Dr. Reck and our team at Princeton Dental tell our patients to cut back on both candy and sweets. They consist of simple sugars that feed the bacteria in your mouth and enhance tooth decay.

It’s the hidden sugars that will cost you, though. Get in the habit of reading labels on food and looking for products with added sugar. This includes ingredients that end with the suffix “ose.” When it comes to nutrition, these foods offer little value beyond satisfying that sweet tooth.

What You Should Eat

Turn to foods that not only taste good but are good for your teeth too. Dairy products, for example, provide the body with nutritional items that support tooth enamel. Foods high in protein feature phosphorus, a nutrient critical to oral health.

You can’t really go wrong by adding color to your diet, either. Fruits and vegetables make for a colorful plate and a healthy meal. Use some caution with acidic fruits like oranges or even tomatoes, because the acid can erode tooth enamel. It is better to include these foods in a meal instead of eating them by themselves.

Remember, good nutrition is something you should worry about all year long, not just when celebrating National Nutrition Month. March just serves as a fun reminder that eating right is a proactive step in managing your dental health.

We encourage you to give us a call at our Brick, NJ office to learn more!

What are dental sealants and how do they work?

February 22nd, 2017

A dental sealant is a liquid that is applied to the teeth. The sealant hardens and provides a protective coating that is designed to reduce cavities and create a smoother tooth surface. Dental sealants are clear or white; they do not take away from the appearance of teeth. You can think about this treatment as being similar to varnish that protects a wood floor.

Sealants are not the same as fluoride treatments. The application is similar, but sealants are a semi-permanent protective coating. Dr. Nirschl and Dr. Reck and our staff recommend that sealant applications for children begin soon after molars erupt, first molars around the age of six, and second molars around the age of 12.

Simple Application

Having sealants applied is not uncomfortable at all. First, your child's teeth will be cleaned and dried. A gel is applied, which helps the sealant adhere to the tooth, and then is rinsed away. Your child's teeth are dried again and the sealant is applied. A few seconds of exposure to a light source may be used to cure the sealant and make it semi-permanent. Sealants should last for a long time, normally between five and ten years.

Sealant Benefits

The coating on the surface of your child's teeth reduces the amount of acid contact. Normal acids in foods that are consumed can eat away at the surface of teeth. Bacteria also react to plaque formation and create more acid in the mouth. These small pits or weakened areas are prone to caries or cavity formation. Preventing cavities is a much better choice than drilling and filling damaged teeth.

A sealant also helps to smooth the chewing surfaces of your childn't teeth. The smoother surface is not as likely to retain small particles of food and bacteria. Your child's mouth stays cleaner and food is not left behind to form acids. The protective application can also be used on other teeth that have a rough surface, to protect the grooves or pits from decay.

After the sealant is applied, your child still needs to take proper care of his or her teeth. Regular brushing and flossing is required. Dr. Nirschl and Dr. Reck may recommend fluoride treatments to strengthen and protect your child's teeth further.

If you have any concerns about sealants, please discuss them with during your child's next appointment at Princeton Dental. We want your little one's teeth to stay healthy for life.

How do I overcome my dental anxiety?

February 15th, 2017

Do you feel anxious before every dentist appointment? If the answer is yes, you are not alone—more than 75 percent of Americans feel anxious when visiting their dentist. Today, Dr. Nirschl and Dr. Reck and our team thought we would provide some tips to reduce your stress about visiting our Brick, NJ office.

The first thing we want you to do is plan ahead. If at all possible, book an appointment at a time when you know you won’t be in a rush to get somewhere else, such as picking up your children from school or an important meeting at the office. We also recommend you avoid caffeine and sugar prior to your visit as too much of either can make you feel even more anxious, not to mention jittery.

Once you’re here at our office, take some slow, deep breaths to relax. Then, try to relax your muscles by sitting back comfortably. If you are still feeling anxious, let Dr. Nirschl and Dr. Reck or someone on our team know. We deal with nervous patients all the time and may have additional relaxation techniques for you to try. If you’d like, we also encourage you to bring headphones and listen to music of your choice to distract yourself while we work on your teeth.

If you have additional questions about relaxation techniques, or would like to schedule an appointment, please give us a call!

Valentine's Day History

February 8th, 2017

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Princeton Dental wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

Easing the Teething Blues

February 1st, 2017

Every moment of your baby’s first year of life is precious, since every day your child grows a little, develops new skills, and discovers new things. Most of it is wonderful, but parents don’t like to see their babies in pain. That’s why teething can be such a hard experience. However, you can take steps to make it easier for you and your baby.

What to Expect

Most babies begin teething around the age of six months, when the lower central incisors start to appear. Shortly after this time, the upper central incisors poke through, followed by the lateral incisors, first molars, canines, and second molars. Unfortunately, you’ll probably know that your baby is teething not because you see these teeth come in, but because your baby will be in discomfort. These are some of the signs to watch for when you’re expecting your baby to begin teething.

  • Tender and sore gums
  • More drooling than before
  • Being crankier than usual
  • Chewing on hard objects

What You Can Do

As a parent, you want to do everything you can to make your child more comfortable. These are some approaches that Dr. Nirschl and Dr. Reck and our team recommend:

  • Take a clean moistened wash cloth or use your own washed finger to rub your baby’s gums and provide relief due to the pressure.
  • Provide a firm rubber teething ring for your baby to use, but don't use the type that is filled with liquid.
  • Use a bottle. A bottle filled with cold water can be soothing. Don’t give your baby formula, milk, or juice constantly because the sugar can cause tooth decay.
  • Medications can help for extreme crankiness. Infant Tylenol is an example, but it’s best to check with your pediatrician before giving your baby medications.

You might also want to take special care to dry the drool. It’s not just to keep yourself and your baby dry. Keeping your baby’s skin dry can help prevent irritation.

When to Visit Us

Once your child’s first tooth comes in, it’s time to start thinking your baby’s first trip to our Brick, NJ office. The American Dental Association suggests that you bring your child to the dentist within six months of the appearance of the first tooth, or at about one year of age. Dr. Nirschl and Dr. Reck can do a quick check for tooth decay, and we’ll make sure you know how to take care of your child’s new teeth.

What is hand-foot-and-mouth disease?

January 25th, 2017

Hand-foot-and-mouth disease, or HFMD, is a type of contagious viral illness that causes a rash in the mouth and on the hands and feet of infants and young children, and, while rare, adults. Characterized by sores in the mouth and a rash on the hands and feet, hand-foot-and-mouth disease is most commonly caused by a coxsackievirus, a bacterium that lives in the human digestive tract. HFMD can spread from person to person, typically via unwashed hands.

What are the symptoms of HFMD?

Symptoms of HFMD usually begin with a fever, sore throat, poor appetite, or general malaise. A couple of days after the fever starts, kids may develop painful sores in the mouth. A skin rash characterized by red spots may also develop, usually on the palms of your child’s hands and soles of their feet. It’s important to note some children may only experience a rash while others may only have mouth sores.

Is HFMD serious? Should we be concerned?

Usually not. Nearly all children infected recover anywhere between seven to ten days without medical treatment. Rarely, however, a child can develop viral meningitis and may need to be hospitalized. Other rare complications of HFMD can include encephalitis (brain inflammation), which can be fatal.

How can my child prevent HFMD?

There is no known vaccine to defend your child against HFMD. However, the risk of your child contracting the disease can be reduced by:

  • Making sure your child washes his or her hands often
  • Thoroughly cleaning objects and surfaces (these include doorknobs and toys)
  • Making sure your child avoids close contact with those who are infected

To learn more about hand-foot-and-mouth disease or to schedule an appointment for your child, please give us a call at our Brick, NJ office!

Best Tips to Make Your Teeth Look Whiter

January 18th, 2017

Your teeth were once naturally white and bright. Wouldn't it be great to keep them that way all of your life? Unfortunately, everyday living can dim our smiles. Food, coffee, some juices, and soft drinks can stain your teeth. Poor brushing and flossing can also leave tooth stains. Injuries to teeth or gums can cause some yellowing as well, and in some cases, medicines can discolor teeth.

So, you may need some extra help to maintain or restore your teeth's natural beauty. Here are some of the best ways to whiten your teeth:

1. Reduce additional staining by drinking with a straw or cutting back on coffee and soft drinks.

2. Brush and floss every day.

3. Try a whitening toothpaste or mouthwash.

4. Visit our office for teeth cleaning and an exam every six months.

We can also help you whiten your teeth with in-office professional teeth whitening at our Brick, NJ office. These whitening products are much more effective than whiteners you can buy at the store and are completely safe. Since they're stronger, application by a member of our team is essential to achieve the best results.

Some teeth can resist bleaching. If that's the case, we can try several techniques:

  • Deep bleaching that applies whitening agents over several visits.
  • Veneers and bonds that cover existing stains with a whiter, brighter surface.
  • Laser whitening that uses light to clean stubborn stains off teeth.

Take Care!

You may come across “bleaching stations” in shopping malls or at fairs. Avoid using these as the so-called whitening techniques can irritate your teeth and gums, leaving them highly sensitive to pain. Note too, that the operators of these whitening stands will make customers apply the bleach themselves, to avoid charges of practicing without a license. That should serve as a red flag and a caution to seek trained professionals, like Dr. Nirschl and Dr. Reck, instead.

Why do wisdom teeth need to be removed?

January 11th, 2017

Dr. Nirschl and Dr. Reck and our team at Princeton Dental get this question a lot. Wisdom teeth are the last teeth to come in, once young people get their adult teeth. Because they are the last teeth to break through the gums, they are often called the third molars. There are four wisdom teeth: two on each side of the top and bottom of the mouth.

There is no hard-and-fast rule that says everyone must have the wisdom teeth removed. There are certain situations in which they either cause problems directly, or create a situation where there is a greater likelihood problems will arise eventually.

Impacted wisdom teeth

If Dr. Nirschl and Dr. Reck and our team say you have a soft tissue impaction, it means your wisdom tooth is covered by gum tissue that is preventing it from erupting — most likely because your mouth is too small to provide the tooth with the room it needs to emerge.

The term “partial bony impaction” means that gum tissue is covering the wisdom tooth, but part of the jaw bone is also covering it, in which case there is no room in your mouth for the tooth to erupt. The opposite end of this spectrum is a complete bony impaction, where the wisdom tooth is completely covered by gum tissue and the jawbone, which prevent it from ever erupting.

The importance of removing impacted wisdom teeth

Dentists often want to remove impacted wisdom teeth because of the likelihood that they will cause problems, or because a problem already exists. One such problem is pericoronitis, an acute abscess that affects partially impacted wisdom teeth. Food, bacteria, and other mouth debris can become lodged under the gum flap that covers the wisdom tooth, which prevents it from erupting. Pericoronitis symptoms include pain, swelling, and the presence of an abscess.

Regular dental checkups will enable your dentist to keep an eye on your wisdom teeth, especially if they have some type of impaction. Dr. Nirschl and Dr. Reck and our team at Princeton Dental typically recommend removal of impacted wisdom teeth because of the likelihood that severe infections such as pericoronitis will develop.

If you have any questions about wisdom teeth, or if you would like to schedule an appointment with Dr. Nirschl and Dr. Reck, please give us a call at our convenient Brick, NJ office!

Dental Veneers

January 4th, 2017

Are you looking to improve the appearance of your front teeth? Dental veneers are widely used to improve the appearance of front teeth and are a much more conservative option than a full dental crown. Veneers can be used to improve the appearance of staining, large gaps, large fillings, chipped teeth, or overall shape. Veneers are a thin covering over the front and biting end of the tooth used to restore the beauty of a smile. Over the years we have helped many patients who opted for veneers and now have the confidence to smile again.

Dental veneers are made in a lab from long-lasting porcelain materials. The shade can be chosen to a desirable color to whiten the appearance of your smile. Dental veneers are usually placed on the anterior, or front teeth, where the chewing forces are not as hard as the back teeth. The process of placing veneers is relatively easy requiring only two dental appointments. In some cases, only one appointment is needed. It depends on the fabrication process.

The first appointment is to “prep” the teeth and take an impression to be sent to a lab to fabricate the veneers. Veneers are fairly conservative in the preparation as it requires a small amount of space to be created on the face (front), bottom, and sides of each tooth to allow space for the veneer to be placed and look natural. You will leave the office with temporary veneers for the next week or two while the permanent veneers are being made.

The second appointment is to place the veneers and make minor adjustments if needed. What a difference it makes in the appearance of the teeth! If you’re interested in learning more, give Dr. Nirschl and Dr. Reck a call today!

New Year's Day Around the World

December 28th, 2016

New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

  • Vietnam observes the New Year in February
  • In Iran, the day is celebrated on March 21st
  • Islamic cultures often observe the tenth day of the month of Muharram
  • Russian Orthodox observers use the Julian calendar and celebrate on January 14th
  • Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Dr. Nirschl and Dr. Reck. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. Princeton Dental wishes you a healthy, prosperous, and happy New Year!

TMD Problems and How You Can Prevent Them

December 21st, 2016

Temporomandibular joint disorders (TMD) describe a set of conditions that involve trouble with your jaw and face muscles. They result from a problem in the temporomandibular joint (TMJ), which is a hinge that connects the temporal bones, in your skull in front of each ear, to your jaw. The joint enables you to talk, yawn, and chew by letting your mouth move.

TMD can be very painful and interfere with functions such as eating and speaking. This what to watch for and how to try to prevent TMD.

Risk Factors for TMD

You are at higher risk for TMD if you are a women than if you are male. The disorder is most common among adults between the ages of 20 and 40 years. Other risk factors for TMJ disorders include the following.

  • Arthritis in the area, making movement more difficult
  • Excessive tooth grinding, because it increases stress on the joint
  • General stress, which can lead you to clench your teeth and strain facial muscles

Symptoms of TMD

Symptoms of TMD can last for just a short while, or for several years. Seeing Dr. Nirschl and Dr. Reck is important if your symptoms make it impossible for you to eat regularly or if you have unbearable pain or discomfort. The following symptoms can occur on both or one side of your face.

  • Aching or very tired facial muscles
  • Jaws that are fixed open or shut without you being able to unlock them
  • Grating or popping sounds when you chew or close or open your mouth
  • Pain in the entire area, including the mouth, jaw, neck, or shoulders, that comes on when you chew or yawn

Preventing TMD

You can try to prevent TMD by focusing on reducing risk factors. If you grind your teeth at night, ask Dr. Nirschl and Dr. Reck about wearing a mouthguard. If you are overly stressed, look into ways to better manage your stress and relax your muscles. Another strategy for trying to prevent the development of TMD is to avoid chewing gum, since that puts stress on your jaw.

If you have questions about TMD, don’t hesitate to contact our Brick, NJ office.

How does whitening toothpaste work and how effective it is at whitening teeth?

December 14th, 2016

Brushing your teeth twice a day with fluoride toothpaste that has the American Dental Association seal of approval can help prevent tooth decay and relieve other conditions, such as bad breath, sensitive teeth, and gingivitis.

Beyond these health effects, another motivation for frequently brushing your teeth with high-quality toothpaste is to keep your teeth white. If you want whiter teeth but do not want to undergo in-office or at-home bleaching treatments, you might consider choosing whitening toothpaste for your daily brushing.

Why Consider Whitening Toothpaste

Whiter teeth are more attractive, which can help you feel more confident in your smile. Your smile is also one of the main components of the first impression you make on people in your professional and personal life. Having a whiter smile and greater self-assurance can send the message that you take care of yourself and are confident in your abilities.

How Whitening Toothpaste Works

The American Dental Association explains that all toothpaste has whitening properties because they help remove food particles from your teeth. To carry the American Dental Association seal for whitening, however, toothpaste must contain certain chemicals that help remove stains.

Unlike bleaching products, which contain carbamide peroxide or hydrogen peroxide, whitening toothpaste only cleans the enamel rather than changing the color of your teeth. To obtain the benefits of whitening toothpaste, you need to use it regularly.

The Effectiveness of Whitening Toothpaste Varies

Due to individual variations in the color of your teeth, some people are more likely than others to achieve the desired results with whitening. Teeth that are tinted grayish are unlikely to respond well to bleaching, while brown teeth can sometimes respond, and yellowish teeth are most likely to become pearly white with bleaching.

If Dr. Nirschl and Dr. Reck and our staff believe that bleaching is not a viable option for you, proper oral hygiene and the use of a whitening toothpaste are your best bets for keeping your teeth as white as possible. In addition, avoid using tobacco products, and rinse your mouth after drinking coffee.

How safe are dental X-rays?

November 9th, 2016

Dr. Nirschl and Dr. Reck and our staff rely on digital X-rays to help us diagnose oral conditions and process images at incredibly high speeds. You can also view digital X-rays in real time while we examine your mouth with an intraoral camera and upload the images to a software program. A chairside computer monitor lets you see these images as we refine areas of concern to ensure an accurate diagnosis.

But are dental X-rays safe?

Yes! They emit 80 percent less radiation than exposure-type X-rays and provide detailed images to improve diagnosis and treatment. We can now detect dental problems in their earliest stages without subjecting you to unnecessary radiation. The amount of radiation released by digital X-rays is “negligible,” which means the amount is so small, that it can be safely disregarded.

Safe enough for children and pregnant women, digital X-rays detect microscopic pitting in tooth enamel and other abnormalities in the oral tissues that might have remained undetected with traditional X-rays. When Dr. Nirschl and Dr. Reck and our staff discover dental caries in their earliest stages, we can initiate treatment measures that will effectively prevent cavity development, tooth decay, and potential tooth loss.

Patient appointment lengths are shortened with digital X-rays as well, because images are immediately viewable and do not require the exposure time associated with old-style X-rays.

How Digital X-Rays Differ from Traditional X-Rays

Instead of using cardboard-contained film, we insert a small sensing device about the size of a pen in your mouth and engage the digital X-ray machine by manually manipulating control buttons. Within seconds, images appear on the monitor that can later be stored in your file or sent to another doctor for further examination.

The increased resolution afforded by digital X-rays means that patients are able to understand the seriousness of their dental issues better, and are more inclined to follow through with procedures recommended by Dr. Nirschl and Dr. Reck.

Safer, Better and Faster

For detection of cancerous tumors in their early states, digital X-ray technology offers vast improvements over film X-rays because of its cutting-edge image processing capability. Early detection of oral cancer and dental caries is the best way to prevent any type of oral health problem from exceeding the treatable stage.

Does smoking affect oral health?

November 2nd, 2016

By now, everyone knows that smoking is bad for you. But the truth is its broad-reaching health effects are not all known by everyone. This is especially true of oral health. Smoking can have serious repercussions in this regard. To give you a better idea of how smoking can affect your oral health, Dr. Nirschl and Dr. Reck and our team have listed some issues that can arise.

Oral Cancer

Oral cancer can have steep ramifications for anyone that gets it. Surgery can be required to eliminate the cancer before it spreads to more vital parts of your body. Any type of cancer is about the worst health effect you can get, and this especially holds true to the affects that smoking has on your mouth. The type of mouth surgery required with oral cancer can leave your face deconstructed in certain areas, and it is all due to smoking or use of other tobacco products.

Tooth Discoloration and Bad Breath

At the very least, it is fair to say that as a smoker you will often have bad breath, and while you may try to cover it up with gum or mints, tooth discoloration is a whole other story. The chemicals and substances in cigarettes stick to your teeth staining them brown and yellow colors that are increasingly difficult to disguise.

Gum Disease and Loss of Bone

Another effect of smoking is the increased risk of gum disease. Your gums may start to recede, which can eventually lead to the loss of teeth. Smoking can also increase bone loss and density in your jaw which is vital to the health of your mouth. Gum disease and bone loss are two signs that smoking is definitely bad for your mouth.

When it comes to the health of your mouth, the question is not whether smoking affects your health, it's how does it affect your health and to what degree. If for no other reason than because smoking involves your mouth as its entry point, it is safe to say that it can have long-lasting and detrimental consequences on your oral health.

To learn more about smoking and your oral health, contact our Brick, NJ office to schedule an appointment with Dr. Nirschl and Dr. Reck.

How do OTC whitening treatments compare to in-office whitening?

October 26th, 2016

If you are unhappy with the color of your teeth, teeth whitening may be an excellent choice for you. Many patients of Dr. Nirschl and Dr. Reck suffer from darkened teeth due to the natural aging process, regular consumption of coffee or tea, or nicotine staining from cigarettes.

Some people may have darkened teeth due to long-term use of medication. Certain medication-related stains on the teeth cannot be lightened, but virtually every other type of teeth stains can be effectively lightened using either professional dental whitening or at-home whitening.

While both types of whitening have benefits, at-home kits are less expensive and less effective overall. Professional teeth whitening is a highly effective option, but it requires a bit more of an investment. Here is the basic info on each type of whitening.

At-Home Whitening

At-home whitening is done in a number of different ways today. Some of the most popular options include:

  • Whitening strips that are applied to teeth and then removed after a specified period. These will typically be used once a day for at least a week.
  • Whitening gels or pastes that are placed in a one-size-fits-all plastic tray. These trays are worn, retainer style, for a set period of time once a day.
  • Whitening toothpaste, which is used daily, and whitening mouthwashes are also available today. These products require constant use to realize results.

In-Office Whitening

In-office whitening is the fastest way to achieve whiter teeth. If you want an almost immediate difference in the color of your teeth and their overall appearance, this is probably the option for you.

Dr. Nirschl and Dr. Reck will typically apply the whitening formula directly to your teeth. Following the application, we will have you relax in our office between half an hour and an hour.

Some office-whitening formulas are strengthened with the use of heat, specialized lighting, or laser application. Patients will usually notice whitening results after only one application, but it usually takes at least a few appointments at Princeton Dental to notice a truly dramatic change in tooth color.

Three Valuable Dental Treatments

October 19th, 2016

In our office, we customize treatment for every patient. Amid all of the fillings, crowns, and veneers, we find there are three treatments that are most valuable when offering our patients options: dental implants, bite guards, and teeth whitening.

Dental implants are a great tool for those who have lost teeth from trauma, genetic predetermination, decay, or fracture. Technology and design have allowed these implants to look and function like a natural tooth. They are a great investment when maintaining bone structure and smile presentation.

In our fast-paced lives, people take their stress and tension out on their teeth. Clenching and grinding, or bruxism, is on the rise. This is traumatic to crowns, fillings, and natural teeth. Headaches are a symptom of bruxism and when not treated, jaw joint inflammation and pain are a result. Bite guards are often worn at night when most of the action occurs. Many are not even aware of this habit until presented with evidence of cracked teeth, broken crowns, and pain.

Last, but most definitely not least, is whitening. Tooth whitening is safe and effective. There are different types of tooth whitening: in-office, custom trays, and over-the-counter strips. Each is effective, though at different levels. First, and your best option, is done in the office. The gums are protected and a gel with high potency is applied to the teeth. Some methods have a light shining on teeth and some have timed intervals without the light. Next are custom trays, which require an impression of your bite. Trays are picked up at a later date. At that point, instructions are given and the gel and trays are delivered. A final option is whitening strips, which can be found in many local stores. They are effective, though the whitening process is slower and some areas may not whiten.

Each treatment has risks and rewards that should always be considered prior to any treatment. Implants must be well cared for. Bite guards must be an accurate fit and worn regularly. Comfort is most important. Whitening causes temporary sensitivity and some people’s teeth whiten better than others.

Consider what your needs are, and then customize your wants to fit into the equation. A little stability from implants, protection from a bite guard, and a brilliant smile may be just what the doctor ordered. And if you have any questions, don’t hesitate to call our office, Princeton Dental.

Can I use mouthwash instead of flossing?

October 12th, 2016

While mouthwash goes a long way in improving your oral care, it is not a substitute for flossing. Mouthwashes and flossing provide different benefits that you should understand.

Mouthwash Benefits

Mouthwash comes in two categories. Some are considered cosmetic. This type of rinse provides temporary relief from bad breath and has a pleasant taste. These do not actually kill any bacteria.

Therapeutic mouthwashes provide the healthier benefits. These may contain different ingredients including fluoride or antimicrobial agents. This type is used to remove plaque buildup and reduce the potential for calculus formation. Therapeutic rinses can also help prevent cavities, bad breath, and gingivitis. In addition, Dr. Nirschl and Dr. Reck can prescribe special rinses to assist patients after periodontal surgery or other procedures.

Flossing Benefits

Flossing is what removes the plaque formation before it can harden and become calculus. While a rinse reduces buildup, only flossing will fully remove plaque, especially between teeth. The bristles on a toothbrush do not get between teeth completely. If plaque is not removed, it hardens into tartar or calculus. When this builds below the gum line, gum disease can start.

Types of Floss

Floss is available in a thin string form or a tape. It can be waxed or unwaxed. If you find flossing difficult, you might want to try a different type of floss. You can buy bulk floss in containers or purchase the disposable type with a plastic handle attached. This style can be easier for many individuals to use. Interdental picks are available for bridgework or other situations where regular floss cannot be used.

If you have questions regarding the best mouthwash or floss, or need tips for easier flossing, please ask our Brick, NJ team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.

October is National Dental Hygiene Month: A simple oral health routine for your busy lifestyle

October 5th, 2016

Adults are no strangers to feeling like there is never enough time in the day to get everything done. Your alarm clock rings and within minutes you ping pong around trying to spread peanut butter on sandwiches, answer your cell phone, remove the dog hair from your clothes, and make sure your child has completed his or her science fair project. Brushing your teeth can easily fall to the wayside. That is why our office promotes a simple, daily oral health regimen that you can easily incorporate into your busy lifestyle.

The American Dental Hygienists' Association (ADHA), in partnership with the Wrigley Jr. Company, is celebrating National Dental Hygiene Month (NDHM) during October. The ADHA encourages people to "Brush. Floss. Rinse. Chew...Keep it Clean, Keep it Healthy!" and offers some great tips for a quick and effective home oral health routine, below:

Oral Health Routine at Home

  • Brushing your teeth twice daily is the most important thing you can do to diminish the accumulation of plaque and the potential for other oral problems such as cavities and gingivitis.
  • Flossing once daily removes plaque and food from beneath the gums and between teeth that brushing alone cannot remove. Tooth decay and gum disease often begin in these areas.
  • Rinsing your mouth with an antibacterial, non-alcohol based mouthwash kills plaque and gingivitis germs that brushing and flossing do not catch. We recommend using a mouthwash with the ADA Seal of Acceptance.
  • Chewing sugar-free gum helps produce saliva, which battles cavities. The gum also neutralizes plaque, strengthens enamel, and removes remaining food. It is especially important to chew gum after eating or drinking.

It's easy to put the toothbrush down in order to take care of matters you feel are more urgent, but remember, a good oral health routine at home is the best way to prevent periodontal disease. "Periodontal disease is the most common cause of tooth loss in adults. An estimated 75 percent of Americans reportedly have some form of periodontal disease," said the ADHA. Periodontal disease also is linked to more serious illnesses such as diabetes and stroke.

Also, remember to keep regular visits with our office. Dr. Nirschl and Dr. Reck can help you learn more about proper care for your teeth and gums.

I can't stop grinding my teeth! How can a dentist help?

September 28th, 2016

Dr. Nirschl and Dr. Reck will tell you that while you are sleep, your mouth may be very active. If you find yourself waking up with headaches, facial pain, neck aches, or a sore jaw, you may have tooth grinding, a condition we also call bruxism.

We see many people who experience some extent of tooth grinding, but a very small percentage of the population actually experiences symptoms severe enough to warrant visiting a doctor. If you continually experience any of the symptoms listed above, we encourage you to give us a call at our Brick, NJ office so that we may be able to diagnose and treat the problem.

The most common treatments include:

  • Reducing your stress level to help relax your jaw muscles and prevent grinding
  • A custom-made night guard to cushion your teeth and protect them from damage
  • Changing your eating habits. Coffee, tea, or alcohol before bed can increase your chance of nightly grinding
  • If your jaw or teeth are misaligned, Dr. Nirschl and Dr. Reck may also recommend a brace to decrease grinding.

Grinding your teeth can have serious consequences that, if left untreated, can lead to tooth fractures and damage to the TMJ (temporomandibular joint).

If you think your teeth may not be getting the rest they need at night, we encourage you to give us a call and schedule an appointment with Dr. Nirschl and Dr. Reck. Call us today!

Five Things You Should Never Do With Your Toothbrush

September 21st, 2016

When’s the last time you gave your toothbrush any serious thought? Sure, you use it every day (and ideally twice), and you know that with a dollop of toothpaste it waxes up your pearly whites nicely, not to mention preventing bacteria, plaque, and inflammation.

But what are the things you should never do with your toothbrush? Here’s a brush-up on five toothbrush no-nos, from Princeton Dental.

1. If you have your toothbrush too close to the toilet, you’re brushing your teeth with what’s in your toilet. In other words, keep your toothbrush stored as far from the toilet as possible.

2. The average toothbrush harbors ten million microbes. Many families keep their toothbrushes jammed together in a cup holder on the bathroom sink, but this can lead to cross-contamination. Family members’ toothbrushes should be kept an inch apart. Don’t worry; they won’t take it personally.

3. Don’t delay replacing your toothbrush. It’s best to purchase a new one every three to four months, but by all means get one sooner if the bristles are broken down because of your frequent and vigorous brushing. If you have a cold or the flu, replace your toothbrush after you recover.

4. Store your toothbrush out of the reach of toddlers. The last thing you want is for your toothbrush to be chewed like a pacifier, dipped in toilet water, or used to probe the dusty heating ducts.

5. Sharing is caring, right? Your parents probably taught you the importance of sharing back when you were, well, dipping their improperly stored toothbrushes in toilet water. But here’s the thing: As important as sharing is, there are some things you just don’t share, and your toothbrush is one of them.

Toothache: A dentist or the emergency room?

September 14th, 2016

Emergency care dentists are equipped to handle any tooth emergency. Seeing us first takes less time than having to sit in a hospital emergency room, only to be told to see a dentist. When dental emergencies occur, seek emergency care with Princeton Dental as soon as possible. We are prepared and equipped for any type of dental emergency: day or night, seven days a week, we stand ready to advise and treat you with great dental care.

There are several types of dental emergencies, but only one or two should require a hospital emergency room visit. If you suspect you have a broken jaw or nose, emergency medical attention is required. For pain associated with teeth and gums or injury to a tooth, Princeton Dental is the better choice. Dental pain almost always becomes worse without treatment, and can create other serious health issues.

If a tooth has been traumatized or knocked out of your mouth, our team can treat the sensitive nerves and tissues that could be damaged. If you can replace the tooth quickly enough, chances are it can be saved. There are certain precautions to take during a dental emergency that could help preserve a tooth until you can see our professional dentists for emergency dental care.

Call our Brick, NJ office at the first onset of pain. If you have lost a tooth, crown, or filling, try to keep the tooth or restoration moist. Teeth are strong, but they will crack and shift after an injury or the loss of a bridge or crown. If the crack extends to the root, or the loss of a tooth or crown leaves sensitive tissue or nerves exposed, the pain can be excruciating. Our emergency care dentists will always treat your pain immediately upon examination, and fix the problem or advise you of a plan to address the cause of the pain.

Make your appointment immediately if you have suffered an accident-causing tooth injury. If the pain is the result of decay or cavities, medication for infection may be necessary. Depending on the extent of the decay, a filling, extraction, or root canal may be recommended. These treatments are not available in a hospital emergency room, but can be completed quickly and comfortably at Princeton Dental .

September is National Gum Care Month!

September 7th, 2016

Can you believe it's already September? At Princeton Dental, we know that gingivitis, the early stage of periodontal disease, can be difficult to recognize. Many people don’t recognize the warning signs, bleeding and swollen gums, as a precursor to gum disease. This month, a national campaign is under way to raise awareness about gum health and periodontal disease, and we wanted to help do our part to spread the word!

Dr. Nirschl and Dr. Reck will tell you early recognition and action are the most important steps to health gums, and ultimately a health body, too! Studies are published every year linking oral health, including the gums, to the health of other areas of the body, such as your heart. One of the most important steps to improving the care of your gums is recognizing the warning signs for gum disease. These can include:

  • Gums that appear red or swollen
  • Gums that feel tender
  • Gums that bleed easily (during brushing or flossing)
  • Gums that recede or pull away from the teeth
  • Persistent halitosis, or bad breath
  • Loose teeth
  • Any change in the way teeth come together in the biting position

If you happen to notice any of these signs with you or your child, please schedule an appointment at our convenient Brick, NJ office as soon as possible. Dr. Nirschl and Dr. Reck and our team can take proactive steps to prevent gingivitis and gum disease, while showing you how to improve gum care in your or your child’s daily oral hygiene habits.

Celebrate Labor Day by Getting Away

August 31st, 2016

Labor Day honors the contributions that workers have made to this country, and for many Americans, the holiday is a great time to relax at home with family and friends. But there are quite a few people who celebrate the holiday by getting out of town, with an estimated 33 million people traveling more than 50 miles over Labor Day weekend each year. If you’re dreaming of a great Labor Day escape but you’re not quite sure where to go, here are a few ideas from our team at Princeton Dental to give you some travel inspiration.

Explore a National Park

On a national holiday like Labor Day, it’s only fitting to experience the beauty of America’s landscapes by heading to the nearest national park. If you’re confined to an office most days of the year, national parks can provide a relaxing and scenic escape, whether you’re by yourself, traveling with a group of friends, or bringing the whole family along. Depending on how close you live to the nearest park, you can stay for an afternoon or for longer than a week. With 58 parks located in 27 states, there are plenty of beautiful areas to choose from.

Chow Down in a BBQ Haven

Barbecuing is a popular Labor Day activity, but instead of sweating over your own grill or oven, try visiting one of the country’s BBQ capitals. U.S. News and World Report names Memphis as the top BBQ destination, with more than 80 BBQ restaurants in the city, most notably Corky’s BBQ and Central BBQ. Kansas City is also known for the sweet taste of its sauces, while central Texas is said to have perfected the technique of smoking tender and flavorful brisket.

Relax on the Beach

Many people think of Labor Day as the unofficial start of fall, which brings cooler temperatures, more rain, and for many people, an end to lazy days at the beach. End your beach days with a bang by taking a trip to one of the coasts or to a lakeside beach. For an added dose of festivity, find a city or town that celebrates the occasion with a fireworks display over the water.

Whether you’re looking to turn your getaway into a full week affair or you simply want to experience a quick escape, make the most of your holiday by changing your surrounding scenery. Happy Labor Day from the dental practice of Dr. Nirschl and Dr. Reck!

Broken Tooth: Is It an emergency or not?

August 24th, 2016

Have you ever had that sinking feeling after biting into something soft and chewy and feeling something hard and crunchy instead? You’ve chipped or broken a tooth, but what should you do next? First try to assess the damage by determining whether it’s a chip or a whole tooth.

As Dr. Nirschl and Dr. Reck will tell you, a broken or chipped tooth is usually not a dental emergency unless you are experiencing a great deal of pain or bleeding, but you should contact us for an appointment shortly afterward. Be sure to mention that you have a broken tooth so we can fit you into our schedule quickly. After a thorough evaluation, we’ll recommend a course of action. If it is a small chip, we may simply smooth it out. For a larger break, the dentist may fill in the space with a composite material that matches your other teeth.

Emergency Dental Care

If you are in severe pain, are bleeding excessively, have a major break, or have lost a tooth, that is a dental emergency and you should contact us. As emergency dental specialists, we’ll be able to schedule an appointment immediately and advise you on the next steps to take.

You can rinse your mouth with warm water and apply pressure to stop the bleeding. An ice pack will help reduce any swelling. Do not take any aspirin as that could increase the amount of bleeding. Should your tooth be knocked out completely, rinse it under running water but do not scrub it. Hold the tooth only by the crown, or the part you normally see above the gum line, not by the root. If you can, put the tooth back into the socket while you travel to our office, or put it in a mild salt solution or milk. Don’t let the tooth become dry, because this can lead to damage. Once you get to our office, our dentist will determine whether the tooth can be saved or if it will need to be replaced.

A broken tooth may not always be an emergency, but it’s best to have it treated with us at Princeton Dental. While it may only be a cosmetic problem at first, if left too long without treatment, you may experience further damage to your tooth and mouth.

Breaking Bad Oral Habits

August 17th, 2016

The effects of bad oral habits are something our team sees all too often. You might have bad oral habits that stem from childhood, possibly because your parents did not know about proper oral care or force you to follow it. Or, your bad habits could develop gradually, like slacking on your frequency of brushing.

Bad oral habits can lead to tooth decay, gum disease, and consequences such as losing teeth and experiencing bad pain. They may be deeply ingrained and easy to continue, but you can break them with a little effort. Focus on developing good habits to replace your current ones, and eating a diet that is healthy for your teeth.

Replace Bad Habits with Good

Breaking your bad oral habits may not be as difficult as you expect when you focus instead on developing good habits. These new good habits can naturally replace your bad habits.

  • Brush your teeth after each meal or at least twice a day.
  • Visit a dentist every six months for an exam and a professional cleaning.
  • Floss your teeth every day.

These good habits may not seem natural, so you can take steps to make sure you follow these behaviors. For example, make a daily checklist with your scheduled sessions of brushing and flossing your teeth and using mouthwash. You can also set a timer to be sure you brush your teeth for the full recommended two minutes.

Eat Properly

Poor eating habits can be detrimental to your teeth. A common mistake is to let food, especially carbohydrates such as starch and sugar, stay on your teeth for a long time. You can stop doing this by rinsing your mouth with water after each meal or snack. Also, avoid candy and soft drinks between meals, since the sugar sits on your teeth.

A healthy diet provides the nutrients you need to maintain strong teeth. The mineral calcium is key for healthy teeth, so try to get your three daily servings of high-calcium foods, such as low-fat milk or yogurt, canned fish, or fortified soy or almond milk. Also include vegetables and fruits, which have a high water content.

If you need more tips about breaking your bad oral health habits, contact our Brick, NJ office and speak with Dr. Nirschl and Dr. Reck or a member of our team.

What exactly is tinnitus?

August 10th, 2016

It’s estimated that about one in every five people is affected by tinnitus, which is a ringing or noise in the ears. But tinnitus isn’t a condition in itself; it’s actually the symptom of an underlying condition. Some of these underlying conditions could be hearing loss, injury to the ear, or some sort of circulatory disorder.

Another common cause if tinnitus is a dental injury or dental issue, whether it involves the jaw or the temporomandibular joint, better known as the TMJ. “Somatic tinnitus” is the term given to the version that is attributable to injuries to the head or neck area. Symptoms of somatic tinnitus may include noticeable fluctuations in sound volume, intermittency, headaches, memory loss or increased forgetfulness, and an increased likelihood of being depressed or sad.

Dr. Nirschl and Dr. Reck will tell you tinnitus usually isn’t serious and is more common in older populations. For that reason, many people won’t even seek an answer to what’s causing it. But people can also experience more severe cases of tinnitus that can affect a person’s ability to complete everyday activities, which has a larger impact on their lives. For people facing these more severe cases of tinnitus, treatment may be necessary to increase their quality of life. It’s also worth noting that tinnitus seems to worsen with age, so while symptoms might not be a problem one year, they may be more significant and distracting the next.

If you have tinnitus that is caused by the misalignment of the TMJ or an injury to the mouth, that’s a condition that can be corrected by Dr. Nirschl and Dr. Reck and our team at Princeton Dental. We will work to relieve your symptoms by realigning the jaw or adjusting your bite with routine dental care. Sometimes we won’t even have to go this far, because an oral infection or gum infection may be causing your problem. We might also recommend other life changes, such as dietary adjustments and medication.

If you're experiencing tinnitus-like symptoms and have ruled out various other reasons for it, contact our Brick, NJ office today. Dr. Nirschl and Dr. Reck and our team will carefully analyze your situation and put you on a treatment course so that you can kick the symptoms for good.

What stinks?

August 3rd, 2016

Spilling soda on someone’s white shirt, telling an off-color joke at an inappropriate time, or sneezing chewed food all over the dinner table all pale in comparison to the socially unacceptable, embarrassing blunder of having ... bad breath!

Five Possible Causes of Halitosis

  • Poor oral hygiene practices. Failing to brush your teeth encourages anaerobic bacteria growth, which involves a type of bacteria that emits volatile sulfur compounds (gases) responsible for smelly breath.
  • If you have tonsils, you may have tonsil stones embedded in the fissures of your tonsils. Tonsil stones are hard, tiny pieces of bacteria, dead oral tissue, and mucus that form inside tonsil crevices. When accidentally chewed, they release extremely foul odors that others can smell and you can actually taste.
  • You have a chronically dry mouth due to medications, allergies, or persistent sinus conditions that force you to breathe through your mouth. Anaerobic bacteria thrive in dry, stagnant environments where oxygen content is minimal. Consequently, a dry mouth tends to lead to smelly breath.
  • You have acid indigestion or GERD (gastroesophageal reflux disease). If you constantly belch stomach gases, this not only causes your breath to smell fetid but it can lead to enamel erosion and tooth decay.
  • You have one or more oral diseases: gingivitis, periodontitis, or infections in the gums known as abscesses.

Improving oral hygiene practices may eliminate bad breath, but if brushing, flossing, and rinsing with a fluoride mouthwash twice a day doesn’t stop people from backing away from you when you open your mouth, it’s time to visit Princeton Dental.

What should I do if my child has a toothache?

July 27th, 2016

Toothaches in children can be tricky ordeals that cause distress for both the child and the parent. You may feel helpless and frustrated because you cannot pinpoint the location of the pain. It is so hard to see your little one experience discomfort and feel like there is nothing you can do about it. But there are ways you can help. Try these tips the next time your child has a toothache.

Zero in on the Painful Area

The first thing you need to do is find out where the pain is coming from. If your child is old enough, ask him or her to point to the painful area. In younger children, look for swelling and redness on the gums and cheek, dental caries (discolorations on the tooth), or broken teeth. Try to get as close to the location of the pain as possible so you can determine an effective course of action to relieve it.

Try to Find the Cause

Not all toothaches are actually toothaches. A child can bite his or her tongue or cheek, have sore gums, or develop ulcers in the mouth. Teeth that are coming in can also be quite painful. If a tooth is discolored, broken, loose, or has spots that are either darker or lighter than the rest of the tooth, those could be causes of pain.

Five-Step Approach to Dental Pain Relief

  1. Floss. Help your child floss to remove any food particles that may be wedged between the teeth and could be causing pain.
  2. Rinse with warm salt water. Use a warm salt-water solution and have your child rinse well by swishing or holding the salt water over the painful area.
  3. Use a cold compress. This can relieve pain and swelling. If there is no swelling, you can try it anyway to subdue the pain. Try it on for about 15 minutes, then off for 20.
  4. Give the child ibuprofen or acetaminophen. Use the appropriate dosage for your child’s age and administer it regularly as directed.
  5. See Dr. Nirschl and Dr. Reck. If you determine that the tooth or gum is damaged, or if the pain simply cannot be relieved, call our Brick, NJ office.

If your child is experiencing throbbing pain, fatigue, or fever, you should call your pediatrician as soon as possible. If your child is experiencing mouth pain accompanied by trouble breathing or swallowing, it can indicate a more serious situation and you should take your son or daughter to the emergency room.

Most mouth pain in children can be remedied with the simple steps here. The important thing is that you remain calm, no matter what. You child is taking cues from you and if you panic, he or she will panic.

Ease up on your gums — don’t brush your teeth too hard!

July 20th, 2016

A lot of patients go at their teeth like they were sanding an old floor—that is to say, way too hard! Brushing too hard is probably the most common mistake patients make in their oral care routine, and it can be detrimental to the gums and teeth.

What can brushing too hard cause?

  • Receding gums
  • Bone loss around teeth
  • Loss of teeth
  • Tooth sensitivity, especially to hot and cold
  • Worn down enamel

Brushing too hard wears away at your gums, which can lead to the neck of the teeth being exposed. This part of the tooth isn't covered by hard enamel like the rest of the tooth and hence the soft inner layer, or dentin, is exposed. Dentin is very sensitive to hot and cold and much more susceptible to bacterial decay. Once the gums recede due to improper brushing, it’s usually irreversible.

How to brush your teeth properly

You know you're supposed to brush your teeth twice a day, so why not do it right? First and foremost, you should only ever brush with a soft bristled brush—not medium or hard—unless directed otherwise by Dr. Nirschl and Dr. Reck. Unless you have braces or specific oral health issues, brushing twice a day for two minutes is usually plenty.

The main purpose of brushing is to remove plaque from your teeth and gums. Plaque is actually soft and is a buildup of bacteria, saliva, and food debris. You really don't need to brush hard to remove it, just make sure you aim your toothbrush at the gum line (where plaque grows) and brush in small circular motions, never a back-and-forth motion.

It's also wise to hold your toothbrush gently. People tend to brush harder the tighter they hold their toothbrush.

Still have questions about proper tooth brushing technique or gum health? Ask any staff member or Dr. Nirschl and Dr. Reck during your next visit to our Brick, NJ office; we'd be happy to help!

Oral Cancer Facts and Figures

July 13th, 2016

Oral cancer is largely viewed as a disease that affects those over the age of 40, but it can affect all ages, even non-tobacco and alcohol users. Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Our team at Princeton Dental recently put together some facts and figures to illustrate the importance of visiting our Brick, NJ office.

Our friends at the American Cancer Society recommend an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. Because early detection can improve the chance of successful treatment, be sure to ask Dr. Nirschl and Dr. Reck and our team to conduct an oral exam during your next visit to our Brick, NJ office.

  • Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms.
  • The primary risk factors for oral cancer in American men and women are tobacco (including smokeless tobacco) and alcohol use. Risk rises dramatically (30%) for people who both smoke and consume alcohol regularly.
  • Oral cancers are part of a group of cancers commonly referred to as head and neck cancers, and of all head and neck cancers they comprise about 85% of that category.
  • Oral cancer is the sixth most common cancer among men.
  • Oral cancer is more likely to affect people over 40 years of age, though an increasing number of young people are developing the condition.
  • Death rates have been decreasing over the past three decades; from 2004 to 2008, rates decreased by 1.2% per year in men and by 2.2% per year in women, according to the American Cancer Society.
  • About 75% to 80% of people with oral cavity and pharynx cancer consume alcohol.
  • The risk of developing oral cavity and pharynx cancers increases both with the amount as well as the length of time tobacco and alcohol products are used.
  • For all stages combined, about 84% of people with oral cancer survive one year after diagnosis. The five- and ten-year relative survival rates are 61% and 50%, respectively.
  • It is estimated that approximately $3.2 billion is spent in the United States annually on treatment of head and neck cancers.

Cancer can affect any part of the oral cavity, including the lip, tongue, mouth, and throat. Through visual inspection, Dr. Nirschl and Dr. Reck and our team at Princeton Dental can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less extensive and more successful.

Please let us now if you have any questions about your oral health either during your next scheduled appointment, by giving us a call or asking us on Facebook.

Teeth Whitening For a Bright Summer

July 6th, 2016

Summer brings sunshine and warm weather, and many of our patients begin thinking about brightening their smiles this time of year. A whiter smile is one just one visit away at Princeton Dental!

Teeth whitening is safe, quick, and inexpensive. It can be used to correct many tooth discolorations which may have been caused by staining, aging, or chemical damage to teeth. Using the latest in whitening technology, we can offer a safe method for creating the beautiful smile you've always wanted. Just let us know at any appointment if you would like a brighter smile.

Get your beautiful smile today! Give us a call at our convenient Brick, NJ office to schedule an appointment!

Happy Fourth of July

June 29th, 2016

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the area.

The Beginnings of Fourth of July Celebrations

Although it wasn't officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson's famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies.

First States to Recognize the Fourth of July

In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country's independence. Two years later, Boston became the first city to make an official designation to honor the country's birth with a holiday on July 4th. In that same year, North Carolina's governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country's independence.

Fun Facts About the Fourth of July

  • The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal.
  • Americans eat over 150 million hot dogs on July 4th.
  • Imports of fireworks each year totals over $211 million.
  • The first “official” Fourth of July party took place at the White House in 1801.
  • Benjamin Franklin didn't want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States.

For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country.

Dr. Nirschl and Dr. Reck and our team at Princeton Dental wish you a safe and happy Fourth of July!

Good Teeth Lead to Sporting Success

June 22nd, 2016

You already know that taking care of your teeth can help prevent tooth decay and the need for extensive work such as root canals or implants, which can be inconvenient and expensive. But the benefits of good teeth can go far beyond having an attractive smile and being able to crunch carrots and chew meat.

The American Dental Association explains that healthy teeth are linked to a lower risk for heart disease and diabetes. Furthermore, recent research published in the British Journal of Sports Medicine states that good teeth can improve athletic performance among elite athletes.

Researchers examined the oral health of nearly 300 athletes in 25 sports at the 2012 Olympics in London. They looked for conditions such as dental caries, gingivitis, dental erosion, and periodontal disease, and asked about recent visits to a dentist.

Study investigators also asked athletes whether their oral health interfered with quality of life or athletic training and performance. The study concluded that poor oral health and fewer dental visits led to interference with preparation for competition.

This can happen for a few reasons. Tooth pain can disrupt sleep, which leads to slower reaction times. Oral health conditions can indicate chronic inflammation in the body, which means suboptimal performances on an elite level. Tooth pain can interfere with focus during training and competition.

Unfortunately, merely taking good care of your teeth won’t turn you into an Olympic gold medalist. However, the benefits can still be worthwhile. Even if healthy teeth provide little if any detectable gain in your athletic abilities, the potential benefits of maintaining a healthy mouth clearly go far beyond an attractive smile.

Practicing good oral hygiene and seeing Dr. Nirschl and Dr. Reck regularly can promote your physical health, and maybe – just maybe – you will start to achieve an advantage over your weekend athletic opponents.

Common Emergency Visits: From lost fillings to broken dentures

June 15th, 2016

You never know when you're going to experience a dental emergency, but if you do, it should give you peace of mind to know that emergency dental care is available at our office 24/7. Whether you chip your front tooth playing softball, or your child knocks out a couple of teeth in a playground fall, receiving the emergency dental treatment you need is accessible and convenient.

If you're experiencing a dental emergency, our team at Princeton Dental is here to help you any time of the day or night. Dental emergencies should not be taken lightly, so don't delay. Contact our office as soon as possible. Common dental emergencies include the following:

Lost Fillings and Crowns

Fillings are used to repair cavities. Crowns, on the other hand, are used to cover broken or damaged teeth. Over time, it’s possible for both of these items to loosen and fall out. A lost filling or crown can be painful, because the exposed tissue may be sensitive. Hot and cold temperatures will cause discomfort. While a lost filling or crown might not be as severe a dental emergency as a broken or chipped tooth (most people respond quicker to pain than self-consciousness about their looks), you need to get it fixed as soon as possible.

Broken Dentures

If your dentures are broken, everyday tasks may become trying and arduous. If you can’t chew, swallow, or eat properly, the situation calls for emergency care. Depending on how damaged your dentures are, Dr. Nirschl and Dr. Reck may need to send out a mold of your mouth in order to have the manufacturer make a new pair. On the other hand, if the dentures are not damaged too badly, then we may be able to fix them in-house. If you're having problems with your dentures, you should give us a call as soon as possible.

From chipped and cracked teeth to lost fillings and broken dentures, dental emergencies come in all shapes and sizes. Emergencies are unexpected, but we want you to know that treatment is available, day or night. When your dental health is at risk, we are here to help. In the case of a dental emergency, don't wait; contact our Brick, NJ office at your earliest convenience.

June is National Dairy Month!

June 2nd, 2016

family-drinking-milk_11541804People have known for a long time that including dairy in their diets can help maintain healthy bones and even help promote weight loss. But what you may not know is that the routine intake of dairy products may also help promote periodontal health. Since June is National Dairy Month, Dr. Nirschl and Dr. Reck and our team at Princeton Dental want you to know that patients who consume at least 55 grams of dairy products, such as milk, cheese, and yogurt, may significantly reduce instances of gum disease.

Have questions about which foods to choose when trying to improve your oral health? Contact our Brick, NJ office and ask our team!

Memorial Day: Parades, remembrance, and the unofficial start of summer!

May 26th, 2016

kids-on-moms-shoulders_33831597“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Princeton Dental wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Brick, NJ area or beyond, Happy Memorial Day to you and yours from Dr. Nirschl and Dr. Reck!

My toothbrush did what?

May 19th, 2016

my-toothbrush-did-whatIf you were to put your toothbrush bristles under a high-powered microscope, what you would see might give you nightmares: millions of bacteria, busily crawling up and down your toothbrush bristles, consuming proteins that came from your mouth, and still clinging to the bristles even after you’ve rinsed them with water.

Rinsing your toothbrush after brushing removes some of those ferociously hungry bacteria, but not all. The American Dental Association says that bacterial infestations develop on toothbrushes within a month of daily use. The ADA also states that unless a toothbrush is sterilized before being packaged, it’s going to come with bacteria – free of charge!

Germs and Frayed Bristles: the Demise of a Toothbrush

Dr. Nirschl and Dr. Reck and our staff recommend that you toss your old toothbrush in the trash and purchase a new one every three months. Children tend to bite on their toothbrushes, which makes the bristles degrade and fray faster. Chances are kids may need to have their toothbrushes changed more frequently.

Where do they hide?

Bacteria are tenacious little germs that head for those concealed areas between toothbrush bristles. They are highly adaptable and exist in every type of extreme environment. Some people actually go so far as to put their toothbrush in a microwave for a few seconds to kill germs, but this doesn't always work either. In fact, you may only end up with a toothbrush that’s as bendable as a Gumby doll – and still covered with germs.

Feed a Cold, Starve a Fever, and Get Rid of Your Toothbrush

When you have a head cold, your mouth is teeming with bacteria gleefully roaming around, and gobbling mucus and dead skin cells. If you brush your teeth while suffering a sinus condition, the brush will act like a magnet for ravenous bacteria. Use your old toothbrush while you are sick, but as soon as you feel better, throw it away and get a new one. Otherwise you could possibly re-infect yourself with the same cold germs!

When is the best time to floss?

May 12th, 2016

dental-flossing-manAt Princeton Dental, we prefer our patients to practice good oral hygiene between office visits. Part of that process includes flossing, which Dr. Nirschl and Dr. Reck will tell you, is the process of cleaning between the teeth to remove food and debris from the areas that are hard to reach with a toothbrush. When food is allowed to remain between the teeth, it provides a breeding ground for bacteria, which can cause periodontal disease.

Should you floss before or after brushing?

You can floss either before or after brushing, according to your own preference. By flossing first, you can brush away dislodged food debris afterward. On the other hand, brushing first allows you to loosen plaque between the teeth, making it easier to floss more effectively.

Whichever you choose, the most important goal is to floss thoroughly. That means using a fresh strand of dental floss each day, and carefully pulling it back and forth between all of the teeth. Do not skip flossing because your teeth look or feel clean.

When to Floss

Unlike brushing, you need only floss between your teeth once per day. Although you may choose to do it in the morning or afternoon, many prefer to floss at night to prevent food and debris from remaining in the crevices of the teeth overnight. This could prevent the build-up of plaque too, which is a cause of tooth decay.

Help with Flossing

If you have questions about your flossing technique or what type of floss is best for your teeth, contact our office. Our staff will be more than happy to assist you in perfecting your home hygiene regimen. In most cases, you can choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you, and contact our Brick, NJ office with any questions.

May is National Teen Self-Esteem Month!

May 5th, 2016

ortho-teentrio-smilingThe month of May has the unique distinction of being National Teen Self-Esteem Month. What does that mean?

National Teen Self-Esteem Month was created to raise public awareness about how low self-esteem can negatively affect teens. Especially during May, parents and guardians of teens are asked to be positive role models. If teens can receive positive re-enforcement and their negative images of themselves are improved, then their self-esteem has a better chance of developing in a positive direction.

Dr. Nirschl and Dr. Reck and our team at Princeton Dental know there are a lot of young adults living in America are struggling with depressed self-images. These can affect all aspects of their everyday lives. Some evidence shows learning abilities and increased risk of eating disorders can originate in a teen’s low self-esteem. It can also lead to abuse of drugs and thoughts of suicide. Dating violence among high school teens is now more common than previously thought.

What can be done to help?

So what can adults do specifically to help their teens? The National Teen Self-Esteem Facebook page offers a variety of suggestions and positive messages for teens and parents alike. Of all the pages your teen “likes” on social media, perhaps he or she should include this page. Some of the tips offered include:

  1. When you stumble, get right back up.
  2. Don’t compare yourself to anyone else.
  3. Do things that make you feel good about yourself.
  4. Open yourself up to compliments.

Another great way to build self-esteem is to have a beautiful, health smile, and that’s where our team at Princeton Dental come in! Whether your teen is due for a simple cleaning, could benefit from cosmetic treatments, or needs orthodontic care, we can help bestow a confident smile he or she will be proud to show off.

Overall, a more positive approach to life will help us all. It is a very important trait to instill in our teens. As parents, a big part of our responsibility is to show our children there is always another day and bumps in the road are just that. We need to help guide their self-esteem and reinforce their positive traits. We can help them recognize the value of who they are.

We should make our children’s self esteem a priority — not just in May, but throughout the year. Let National Teen Self-Esteem Month serve as the impetus for new levels of self-esteem.

For more information on this topic, or to schedule an appointment with Dr. Nirschl and Dr. Reck, please give us a call at our convenient Brick, NJ office!

Foods that Can Harm Enamel

April 28th, 2016

dental-cereal-girlMany people who are careful about brushing and flossing their teeth wonder how they still end up with cavities or tooth decay. Several factors affect wear and tear on tooth enamel. Diet is a major factor, with certain foods increasing the likelihood that your enamel will become discolored or decayed. Pay close attention to the foods you eat to keep your pearly whites looking healthy and clean.

What causes enamel damage?

Tooth enamel refers to the hard, semi-translucent, whitish part of the tooth that shows above your gums. The enamel is primarily composed of minerals that are strong but susceptible to highly acidic foods. When acid reacts with the minerals in enamel, it results in tooth decay. Strongly pigmented foods can also damage enamel by discoloring the surface of the tooth.

Foods that harm enamel

Acidic foods are the greatest source of enamel damage. To determine whether a food is acidic, look up its pH. Scientists use pH, on a one-to-seven scale, to define the relative acidity or alkalinity of a substance. Foods with low pH levels, between a one and three, are high in acidity and may damage your enamel. Foods with high pH levels, such as a six or seven, are far less likely to cause enamel harm.

So which foods should you avoid? Many fruits are high in acidity, including lemons, grapefruit, strawberries, grapes, and apples. The high sugar and acid content in soda makes it another huge contributor to enamel decay. Moderately acidic foods include pineapple, oranges, tomatoes, cottage cheese, maple syrup, yogurt, raisins, pickles, and honey. The foods that are least likely to cause enamel damage include milk, most cheeses, eggs, and water.

Beverages such as red wine and coffee also damage the enamel by discoloring it. Although stains do not necessarily undermine the integrity of your teeth, they can be unsightly.

What can I do to prevent enamel damage?

Fortunately, there are several measures you can take to prevent your enamel from discoloring or decaying. The easiest way to avoid decay is to steer clear of high-acidity foods. This may not always be possible, but eliminating sugary fruit juices and soda from your diet is a good start. Brushing your teeth after each meal and flossing frequently also preserves your enamel. Another good idea is to rinse your mouth with water or mouthwash after eating to wash away high-acidity particles.

Although enamel damage is common, it does not have to be an inevitable occurrence. Knowing the foods that harm your teeth gives you the tools to prevent discoloration and decay. With some easy preventive measures, your teeth will stay strong and white for years to come! Give us a call at Princeton Dental to learn more!

Don't brush after EVERY meal!

April 21st, 2016

dental-toothpaste-toothbrushThis may come as a surprise, but brushing your teeth right after a meal can be one of the worst things you can do for your healthy teeth. A toothbrush can be considered an assault weapon against your smile if used immediately after eating certain foods.

Enamel is like the tooth’s shield. It is a hard mineral exterior on each of your teeth. In reality, enamel is the hardest part of the human body—even stronger than bone! I like to regard it as a “super-structure.” But every superhero has a weakness, and enamel’s kryptonite is acid.

A healthy tooth lives in a mouth that has a proper pH balance. When that balance tips from alkaline to acidic, a harmful process called demineralization begins. Demineralization occurs when acids attack and soften the tooth surface. Pores and fissures form and harmful bacteria move in.

With each bite of food or drink, our mouth pH fluctuates. Highly acidic foods tip the balance of your mouth from a healthy alkaline to a dangerous acid. Here are some examples of those sources of acid: citrus fruits, soda, and sugary foods. There are certainly many others, but these are the most common.

So how does brushing your teeth immediately after a meal make this process even worse?

After eating highly acidic foods, your teeth are susceptible to damage. When you brush your teeth in this weakened state you are actually damaging your enamel. The abrasive bristles of the brush wear away the protective surface of the teeth. You should avoid brushing for at least an hour, or take other, simple preventive measures immediately following a meal.

First, rinse with or drink clear water. Then chew some sugarless gum. Both of these practices will produce saliva, restore a healthy pH level in your mouth, and coat your teeth with nourishing minerals. Out of all the sugarless gums available, the best of the best are those that list xylitol as the first ingredient. Another option is to consume cheese, milk, or another non-acidic food or drink to conclude your meal.

After you have given your mouth time to return to a healthy pH, feel free to brush your teeth. Just keep in mind that any time you eat acidic foods, you weaken your teeth. Make sure not to worsen the problem by brushing immediately after dining and damaging your teeth even more. Questions? Call us at Princeton Dental.

Toothpaste Guide

April 14th, 2016

toothpaste-guide_29381234Between the huge number of toothpaste brands on the market today, the different flavors, and claims from most to do different things, it isn’t surprising that people feel so confused when it comes to something that should be as simple as buying a tube of toothpaste. This guide will help you identify the common ingredients in toothpaste, and help you understand the important factors to consider before buying toothpaste again.

Toothpaste comes in gel, paste, and powdered forms. When it comes to the type of toothpaste, the choice is more a matter of preference.

Basic Ingredients

  • Abrasive Agents – Abrasive agents are the scratchy substances added to toothpastes to help in the removal of food particles, bacteria, and minor stains. Calcium carbonate is one of many abrasive materials, and arguably the most common.
  • Flavor – When toothpastes are flavored, they almost always have artificial sweeteners to enhance the flavor of the toothpaste and increase the likelihood that you’ll use it. Flavors run the gamut from traditional mint to cinnamon that may appeal to adults, and bubble gum or lemon lime – flavors to target children.
  • Humectants – Humectants are moisturizing agents that keep paste and gel toothpastes from drying out. Glycerol is commonly used as a humectant.
  • Thickeners – Thickeners are used to give toothpaste its distinctive consistency, and to make it maintain a uniform consistency and come out of the tube easily.
  • Detergents – Sodium lauryl sulfate is the most common detergent used in products that foam up, like toothpaste does in your mouth.

What to Look For in Toothpaste

Fluoride is naturally occurring mineral. It is the most important ingredient to look for in a toothpaste. Although there are people who argue against using fluoride toothpaste, dental professionals like Dr. Nirschl and Dr. Reck emphasize that the fact that the incidence of tooth decay has decreased so significantly in the past 50 years is because of fluoridated toothpaste.

The suggestion that fluoridated water gives you enough fluoride to protect your teeth is wrong. Fluoride toothpaste is the best cavity protection there is. In addition to strengthening tooth enamel and protecting teeth from acid erosion (from acidic foods and drinks,) it remineralizes the surfaces of teeth that are suffering from early acid damage and may prevent developing tooth decay from worsening.

Tartar Control

Tartar is the result of hardened plaque buildup on the teeth. Good oral hygiene and in between twice yearly cleanings from a dental hygienist are the best defense against plaque buildup. Plaque turns to tartar when people neglect their oral hygiene. Over time, tartar can build up on teeth and under the gums, increasing the risk of gum disease.

Your best bet is to use a toothpaste that has a combination of anti-plaque agents. Products containing more than one plaque reducer may be more effective than products that only one. Common ingredients to look for are zinc citrate or pyrophosphates. Triclosan is an antibiotic that is believed to kill bacteria in the mouth, and it can be found in some anti-plaque toothpaste.

Look for toothpaste that bears the seal of the American Dental Association. That seal is an endorsement of the ADA – and it means that many dentists agree that that particular toothpaste does what toothpaste is designed to do. We can also recommend toothpaste to meet your specific oral health concerns at your next visit to our Brick, NJ office.

April is Oral Cancer Awareness Month

April 7th, 2016

What is oral cancer?

April is Oral Cancer Awareness Month. If you have been putting off a visit to our Brick, NJ office, now is an excellent time to schedule one. Regular visits to Princeton Dental can be the first line of defense against oral cancer, by identifying early warning signs of the disease, or helping you with preventive care tips to lower your chances of developing it.

Oral Cancer Rates in America

Nearly 40,000 people in the U.S. will be diagnosed with oral cancer this year, and more than 8,000 die every year from this disease. It is a devastating illness: most people who are diagnosed with it do not live more than five years beyond their diagnosis. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body—most often, the lymph nodes in the neck.

What causes oral cancer?

While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes you should know about—because in some cases, you can minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption (especially in combination with tobacco use)
  • Persistent viral infections, such as HPV16
  • A diet low in fruits and vegetables

In addition, oral cancer tends to occur at a rate six times greater in men than in women, and more often for African Americans than other ethnic groups. No genetic links have been identified to explain the higher incidence in these populations, so lifestyle choices remain the likeliest cause.

Oral Cancer Treatments

Once a diagnosis has been made, treatment of oral cancer usually involves a multi-disciplinary team that includes surgeons, oncologists, dentists, nutritionists, and rehabilitation and restorative specialists. Our team will decide on the best approach for each patient, depending on the risk factors and how far the cancer has progressed. The strategy will be different in every case. Some of the most common methods include chemotherapy, radiation, and potential surgery.

Finding out you have cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk.

What exactly is a root canal?

March 31st, 2016

Hearing that you need a root canal can be highly intimidating. What is a root canal? It is the removal of the nerve supply from the tooth. Here, Dr. Nirschl and Dr. Reck will describe the parts of a tooth and explain the reasons for a root canal and how it is done when you visit us in our Brick, NJ office.

Your tooth is made up of many layers. The outside layer is called enamel and is made of minerals. The middle layer is dentin, which is also a calcified tissue, but less dense. The center of the tooth is called the pulp, and that hosts the nerves and blood vessels. A root canal is the removal and replacement of this center with a sterile filling.

A root canal is needed when an infection spreads to the center of the tooth. This can be from trauma (recent or previous), a cavity, a severe crack, or other compromise that causes nerve damage. An X-ray and examination are required to see if a root canal is needed. Symptoms may include but are not limited to pain, swelling, change in tooth color, and over-reaction to temperature change or pressure.

When it is time to begin, you’ll receive local anesthesia (via injection) to make you most comfortable. A rubber dam is used to isolate the tooth, while other equipment determines the nerve location and maintains a sterile working environment. All of the infected area is removed including the nerve tissue and blood vessels. Then, medicines are used to sterilize and alleviate any pain. Next is the placement of a filling material in the spot where the nerve used to be.

When your nerve and blood supply are taken away, the tooth is non-vital, or dead, and can become weak and fragile. If your tooth is badly decayed, a large portion of it will have to be removed. It is recommended to place a crown on the tooth to keep the enamel from breaking or falling apart. If you do not get a crown, you could eventually lose the tooth to more decay or infection. The tooth could also break off completely and you would have to have an extraction. The crown fits over the top of the tooth and secures it from breaking down.

A root canal saves the life of a tooth that would otherwise succumb to further infection and eventually extraction. Infection is the cause of most-needed root canals. If you are ever unsure what is happening at your appointment, don’t be afraid to ask questions so you understand the procedure completely.

Are thumb sucking and pacifier habits harmful for a child’s teeth?

March 24th, 2016

Depending on how long the thumb sucking or constant pacifier use continues, and how aggressively the child sucks a thumb or the pacifier, it can indeed be an oral health issue. Generally speaking, most children outgrow these behaviors or are able to be weaned off them successfully sometime between ages two and four. When children wean off the behaviors in this age range, long-term damage is unlikely.

Why Kids Suck Their Thumb or Pacifier

Both of these habits are actually a form of self soothing that your child likely uses when he or she is very upset, or feeling stressed, confused, frustrated, or unable to properly express the emotions. If your son or daughters is a regular thumb sucker, or the child wants to use the pacifier almost constantly, it is best to try to taper off these habits at a young age.

If your child continues to suck a thumb or request a pacifier consistently after leaving toddler-hood, this could be a source of concern, and it should be addressed with Dr. Nirschl and Dr. Reck and our staff. We will be able to evaluate your child's mouth to look for any signs of damage such as palate changes or teeth shifting.

Say Goodbye to Old Habits

In the event that your child is quite reluctant to give up a pacifier or thumb-sucking habit, there are a few things you can do to discourage these behaviors.

  • When you notice that your child is not using a pacifier or sucking a thumb, offer effusive praise. This type of positive reinforcement can be much more effective than scolding the child.
  • Consider instituting a reward system for giving up the habit. If the child goes a certain amount of time without this behavior, award him or her for being such a “big kid.”
  • Employ the help of older siblings or relatives that your child admires. When a child’s role model says that he or she stopped sucking thumbs at a certain age, your child is likely to try to emulate that.

Go Green for St. Patrick’s Day

March 17th, 2016

Millions of people, around Brick, NJ and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Dr. Nirschl and Dr. Reck thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Chicago’s Green River

If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Princeton Dental!

Should I have TMD treated? Why?

March 10th, 2016

TMD occurs when your bite is not properly aligned. It can cause the jaw to experience unnatural stresses and prevent it from resting properly when your mouth is closed. If you have TMD, you may have noticed a clicking noise when you chew, speak, or yawn; you may even experience pain and discomfort during these actions. In some cases, your jaw may feel “locked” following a wide yawn.

TMD can cause pain and discomfort in the jaw as well as headaches that occur when the muscles that help the joints open and close become overtired. But beyond the pain and discomfort, TMD can also cause serious dental problems if left untreated.

Because TMD is associated with a poor bite or malocclusion (which literally translated means “bad closure”), your teeth do not meet properly. As a result, extra tension and stress may be placed on your teeth, resulting in chips and cracks that allow cavities to form and may even result in tooth loss. Over time, TMD can cause teeth to break, which requires cosmetic treatment to rebuild your healthy smile, and ensure the broken tooth and its neighbors are protected from decay.

While treating TMD used to mean expensive and invasive surgery to reposition or even rebuild the jaw joints, today’s approach at Princeton Dental is much more patient-friendly. By restoring broken, chipped, or cracked teeth, replacing missing teeth, and using braces or other dental devices, Dr. Nirschl and Dr. Reck and our team can help realign your jaw so it’s able to function properly, and eliminate pain and discomfort. And there’s more good news: By restoring damaged teeth and tooth surfaces and straightening crooked teeth, you’re also left with a more attractive smile once treatment is completed.

Every patient is different, and that means your course of treatment will be different too. After a thorough examination of your teeth and jaw, our experienced staff at Princeton Dental will work with you to develop a treatment plan that will have you feeling better – and looking better – sooner than you ever expected. Don’t let your untreated TMD cause more pain and problems; give us a call at our convenient Brick, NJ office today to schedule a consultation.

Are your teeth ready for the big day?

March 8th, 2016

Capturing the Moment

At Princeton Dental we know that just about anyone who has taken on the challenge of planning her own wedding could tell you how important the little details can be. Things like having complementary colors, the right location, show-stopping flowers, and delicious food are all a big part of planning your spring wedding. Another little detail that has a big "I do" related role? Your smile.

Whether you’re the bride, or an attendant, looking your best when you tie the knot (or help someone tie the knot) is essential. If your teeth aren’t ready to make an entrance, turning to one of the many available teeth whitening solutions is a great option.

Reliable Solutions

Before the wedding day arrives, you should take your smile into consideration. If diet and daily wear-and-tear have caused your teeth to lose their original luster, our team can help! In-office procedures do cost more than kits you use at home, but with an in-office treatment, you benefit from a professional taking proper care of your teeth.

In addition, relying on our office to handle teeth whitening before the wedding can give you access to trustworthy advice on how to keep your teeth looking their best for a longer period of time. It’s common for someone experienced in assisting people with their oral health to suggest investing in an in-office whitening technique and then following up with a teeth-whitening kit at home.

This is a season of new beginnings and beauty. Take the time to bring out your most beautiful smile before the big day. Don’t let your smile hold you back on your wedding. With our in-office teeth whitening, you can be sure that you’ll be more confident and comfortable interacting with friends and family. So remember, when in need of some quality oral care in Brick, NJ to think of Dr. Nirschl and Dr. Reck!

Hypersensitive Teeth

March 8th, 2016

It is common to experience dentine hypersensitivity, with symptoms ranging from moderate to severe. Why does it happen and how do you know if this sensitivity is something to be concerned about? The first step is to determine the cause.

The most common cause of the sensitivity is exposure of the dentin. Dentin is the layer immediately surrounding the nerve of the tooth. It is alive and usually covered by the gum tissue. When gum recession is present hypersensitivity is common. Other contributors to temporary tooth hypersensitivity include teeth whitening and dental procedures such as fillings, periodontal treatment, and braces placement or adjustment. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment. To understand the cause of sustained hypersensitivity, let us explain the structure of dentin and why it serves as a ‘hot spot’.

The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When dentin tubes are exposed, there is a direct connection between the mouth and dental pulp, which houses the nerve and blood supply of the tooth. External stimuli, such as mechanical pressure (tooth grinding or clenching - bruising the ligaments holding the teeth in place), temperature changes, as well as chemical stimuli (sweet–sour) are transmitted to the pain-sensitive dental pulp and activate nerve endings. A short and sharp pain is the result. These external stimuli cause fluid movement in the open tube that is transmitted as pain sensations. Something needs to be placed into the dentin tube to plug it and stop this fluid movement.

The first step in doing something about dental hypersensitivity is to determine the cause; our professional team at Princeton Dental can help you with this. Whether the sensitivity is due to exposed dentin or an underlying cause such as abscess or decay, corrective measures are needed. Contact us sooner rather than later so Dr. Nirschl and Dr. Reck can reduce the sensitivity, and provide you with some relief!

How much calcium does my child need?

February 18th, 2016

When you were a kid, your parents may have told you to drink milk to build strong bones and grow tall and strong. Now that you have children of your own, you may hear yourself parroting those instructions you received years ago. Getting enough dairy is essential for young children whose teeth are growing. A child who consumes the recommended daily serving of dairy will develop healthy, strong teeth for the rest of his or her life.

So, which foods are the best in terms of acquiring the right amount of calcium? Milk and other dairy products are excellent sources of calcium. Milk also contains vitamin D, phosphorus, magnesium, and proteins. Magnesium promotes calcium deposits in your enamel, while phosphorus forms a small but important barrier against acidic foods that cause cavities. Vitamin D and protein are used by a child’s body to build bone tissue and maintain dental health.

According to a recent study, the majority of Americans, including children, do not receive enough calcium. In fact, according to the Academy of General Dentistry, only one in five children meets even the minimum standards for calcium consumption. The U.S. Department of Agriculture recommends that children under the age of eight should receive two and a half cups of dairy per day. Children older than eight need three full cups, the same as adult men and women. In addition to milk, eating yogurt is a great way your child can increase his or her dairy consumption. Drinking sugary beverages in place of milk causes cavities and tooth decay.

If your child does not get enough dairy consumption, they run the risk of improper tooth development and other dental health problems. Dr. Nirschl and Dr. Reck and our team at Princeton Dental encourage you to monitor your child’s dairy consumption to ensure he or she grows healthy teeth to last a lifetime.

Questions? Give us a call at our Brick, NJ office!

Choose Chocolate on Valentine's Day

February 11th, 2016

From a student handing out sweets for her classmates to an older married couple exchanging boxes of candy, Valentine’s Day is the time of year when people like to show affection by gifting sugary treats to their loved ones. Whether you’re on the giving or receiving end of Valentine’s Day candy, you can celebrate the holiday in a healthier way by making dark chocolate your confection of choice.

Contribute to Your Health

According to the Cleveland Clinic, studies have shown that the cocoa beans used to make chocolate contain flavonoids, which can help protect the body against damage from various toxins. Flavonoids may also help lower blood pressure and improve blood flow to the heart and the brain. Dark chocolates typically contain a higher amount of flavonoids than other types, making them a great choice for chocolate lovers. However, you should keep in mind that many companies produce chocolate that is so heavily processed that the flavonoids are largely eliminated. Your best bet is to look for high-quality dark chocolates and cocoa powders that have undergone minimal processing.

Protect Against Cavities

If you think there’s no way candy could ever be beneficial for your teeth, think again. The Texas A&M Health Science Center has reported that the tannins present in cocoa beans may actually help prevent cavities by interfering with bacteria’s harmful interaction with teeth. Just like with flavonoids, tannins have been found to be present more often in dark chocolates, rather than milk chocolates, giving you another great reason to choose the richer, sweet varieties.

Avoid a Sticky Situation

One more benefit of choosing chocolate over other candies is that it is less likely to get stuck in the crevices and spaces between teeth. Gooey sweets like taffy can stay lodged in the mouth for longer periods of time, putting you at a greater risk for developing cavities. When you choose your chocolate, be sure to avoid types that also contain sticky ingredients like caramel or marshmallow, and instead opt for the plain varieties.

Remember that the health benefits you can receive from dark chocolate are largely based on eating the candy in moderation. With that being said, it’s easy to make this delicious and health conscious switch when you’re out shopping for your sweetheart, friends, loved ones, and yourself. Have fun satisfying your sweet tooth this year and Happy Valentine’s Day from all of us at Princeton Dental!

How to Handle a Dental Emergency

February 4th, 2016

Whether it’s a broken tooth or injured gums, a dental emergency can interfere with eating, speaking, or other day-to-day activities. According to the American Dental Association , you can sometimes prevent dental emergencies like these by avoiding the use of your teeth as tools or by giving up hard foods and candies.

Even if you take excellent care of your mouth, however, unexpected dental problems can still arise. Our team at Princeton Dental is available 24 hours a day, seven days a week to assess and resolve your individual situation. When an emergency arises, you should immediately make an appointment with our office so we can put you at ease, give you the best possible care, and help you return quickly to your regular routine.

Damaged Teeth

For tooth damage in particular, don’t hesitate to call and schedule an emergency dental appointment. You should come in as soon as possible. However, if you have some time before your appointment there are a few things you can do to avoid further injury. If you break your tooth, clean the area well by rinsing it with warm water. To ease any discomfort, put a cold compress against your skin near the area with the affected tooth.

A dislodged tooth should be handled carefully in order to keep it in the best possible condition. Gently rinse off the tooth without scrubbing it and try to place it back into the socket of your gums. If it won’t stay in your mouth, put the tooth in a container of milk and bring it along to your dental appointment.

Injured Soft Tissues

For other problems, such as bleeding gums or an injured tongue, cheek, or lip, the Cleveland Clinic recommends gently rinsing your mouth with salt water and applying pressure to the site with a moist strip of gauze or a tea bag. If you’re also experiencing some discomfort, you can put a cold compress on your cheek near the area of the bleeding. If the bleeding continues, don’t hesitate to contact our office so you can receive further help.

A dental emergency may catch you off guard, but Dr. Nirschl and Dr. Reck can provide fast, pain-free treatment. Follow the advice above and set up an appointment with us as soon as possible so you can put your teeth and mouth on the road to recovery.

Do You Have an Ageless Smile? Let Us Help You Keep It!

January 28th, 2016

In your golden years, you’ve become a pioneer in tooth care. Yours is probably the first generation in history that can expect to keep most of their natural teeth for a lifetime. You can probably guess the reasons: better oral care, advances in dentistry, improved nutrition, and a lower risk for diseases that could weaken teeth and gums.

As a pioneer, you’re learning with your dentists, and one thing we’ve found is that teeth change with age, just like the rest of the body. Even if your teeth can remain strong and white, here are a few things you may have to cope with:

Cavities: Tooth decay is not just for kids anymore. Seniors often develop cavities on the lower part of the tooth near the root. Thorough flossing and brushing along the gum line is the best preventive measure.

Sensitivity: Gums recede over time, and good dental habits only slow the process. Receding gums leave more of each tooth exposed, and the newly uncovered areas have less enamel. As a result, these teeth may be much more sensitive to hot and cold. If you find your teeth become more sensitive, try a toothpaste designed for sensitive teeth and be sure to tell Dr. Nirschl and Dr. Reck about it at your next checkup.

Difficulty brushing: If you have arthritis or limited motion you may have a hard time brushing your teeth. Consider switching to an electric toothbrush. There are also assistive devices available that make it easier to grip a manual toothbrush.

Other health problems: Diabetes, heart disease, and other chronic illnesses can cause symptoms in your mouth. Be sure to let us know if you have any health conditions, or if your condition changes. We can help treat symptoms that affect your teeth and recommend ways to maintain good oral health habits as part of your overall health program.

Understanding Cavities

January 21st, 2016

Getting a cavity seems like delayed punishment for eating that special dessert every weekend or for the few days you forgot to floss. When you are doing everything right with minimal exception and a cavity is diagnosed, it is discouraging. Knowing how cavities form and what causes them is valuable in knowing how to prevent them. In this blog post, Dr. Nirschl and Dr. Reck will help you understand cavities!

A cavity is not a one-time event. It is actually a symptom of a disease called caries. Tooth decay is a result of an active infection and condition in the mouth. There are ingredients to this infection, which include bacteria, acid, your tooth, and a food source. The main bacterial culprit is S. Mutans. Bacteria live in a housing structure called biofilm. This offers them protection, food, and an ideal replicating environment.

Biofilm can be healthy if there is a balance of good bacteria. When you have caries, the numbers of “bad” bacteria increase and produce an environment where they thrive and therefore cause tooth decay. A main indicator of this is a pH measurement of your saliva.

Several factors can influence the biofilm pH. Foods and beverages all have different pH levels. The lower the number, the higher the acidity. Since acid promotes tooth decay, a beverage like soda will promote a cavity. Water, being neutral, is a good choice to promote healthy oral pH. Healthy eating can still cause cavities. Here is an example of a highly acidic, yet traditionally healthy meal:

Toast with store-bought strawberry jam, and a cup of cottage cheese topped with fresh cranberries.

Instead, here is a better choice, which involves mixing acidic healthy foods with alkaline (non-acidic) foods to reduce the overall pH:

Toast with almond butter, and Greek yogurt topped with fresh blueberries.

The first example will result in a very low pH in the mouth and even in the rest of the body. The second meal mixes highly acidic blueberries with an alkaline Greek yogurt. Dairy products from cows are highly acidic. Toast is acidic because of the yeast and almonds are alkaline.

A natural buffer is saliva. Whenever mouth breathing or medications compromise the saliva flow, the pH is going to drop and caries can go rampant. Getting a cavity is not just about the sweets or forgotten flossing sessions. It is about the pH levels and bacterial management.

For more helpful tips about how to avoid cavities, contact our Brick, NJ office.

Warning Signs of Impacted Wisdom Teeth

January 14th, 2016

You might suspect that your wisdom teeth are starting to emerge, but knowing the signs of impacted wisdom teeth can help you be more proactive about your dental care. Impacted wisdom teeth can be extremely painful and can make your life truly miserable until they are removed. Therefore, looking for the early warning signs listed below, and seeing Dr. Nirschl and Dr. Reck if you experience them, can help you conquer the problem before it conquers you.

There are three primary signs of impacted wisdom teeth. While every person may not have all three of these signs, you can usually expect to experience at least one of these if your wisdom teeth are impacted.

Unusual Pain

If you are feeling a type of teeth pain you've never felt before, especially when it is focused in the back area of your jaw, this may be a sign that you have a tooth impaction. You may be fortunate enough to catch it early, before all of your wisdom teeth become impacted, if you see Dr. Nirschl and Dr. Reck as soon as you feel the pain.

Swollen Jaw

If your jaw is suddenly swollen and the area feels tender to the touch, you have a high chance of having an impacted tooth. Since the wisdom teeth are set so far back in your jaw, the swelling tends to show itself low in the jaw, towards the ears, when they are impacted.

Bleeding Gums

If your gums are bleeding, something you may notice when you see a pink or red tinged toothbrush, you may be dealing with a wisdom tooth issue. When the wisdom teeth are impacted, they put a lot of pressure on your back teeth and gums, which often leads to bleeding.

Visit our Brick, NJ office as soon as possible if you have any of the above signs of impacted wisdom teeth. The sooner you get treatment, the sooner the pain will be behind you for good!

Dental Infections

January 7th, 2016

Dr. Nirschl and Dr. Reck and our team at Princeton Dental will tell you that dental infections can be very serious; sometimes, they develop into a life-threatening situation. Cavities are caused by acid-generating microorganisms that deposit themselves on teeth surfaces. Over time, acid erodes tooth enamel, compromising tooth strength. The major culprit or cause of cavities is sweets, but even diet soda plays a substantial role in tooth erosion, largely because the phosphoric acid it contains alters the oral pH. Cavities can pave the way for other, more serious infections to develop.

Types of infections

Pulpitis

Pulpitis is an inflammation of the tooth pulp. It typically occurs when cavities get deep enough to allow infection to reach the pulp. When this happens, bacteria travel through the pit or fissure that the cavity created. It can also develop from a fractured tooth. The symptoms may include moderate pain that comes and goes. Pain may intensify when cold liquids touch the pulp.

Periodontitis

Periodontitis is a consequence of chronic gingivitis, which occurs when the supportive bone structure of the tooth erodes, causing the periodontal tooth ligament to detach from the tooth. Kids between the ages of 12 and 17 and adults over age 30 are most likely to develop this disease. In severe cases of periodontitis, a periodontal abscess may form. Symptoms of the infection typically include redness, sensitivity to touch, and swelling.

Pericoronitis

Pericoronitis is an infection that occurs when food particles and other microorganisms get trapped under gum flaps. It typically happens when impacted wisdom teeth erupt. Pain at the site of the infection is a common symptom. You should try to prevent food particles from lodging in the gingivitis flaps.

Dental abscesses

A dental abscess is one of the most serious dental infections anyone can get. It begins at the base of the tooth, but without treatment can spread rapidly. When the abscess is more severe, the bacteria spread, often very rapidly, and cause severe facial swelling, pain, and discomfort.

The best way to minimize the risk of developing a dental infection is by practicing good oral hygiene, making sure that food or other particles aren’t trapped between the teeth for too long, flossing, using oral rinses that bear the ADA seal of approval, and seeing the dentist regularly. If or when there are any symptoms of infection, even if the only symptom is pain, be sure to visit the dentist. Early intervention may prevent the infection from escalating into something far more severe, painful, and costly to treat.

To learn more about dental infections, or to schedule an appointment with Dr. Nirschl and Dr. Reck, please give us a call at our convenient Brick, NJ office!

It's a Wrap: Ending the year with a smile!

December 31st, 2015

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the Brick, NJ area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from Princeton Dental

  • Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
  • Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
  • Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Dr. Nirschl and Dr. Reck, have a great new year!.

Caring for Your Smile after Invisalign® Treatment

December 24th, 2015

You have done a lot of work to get the perfect smile. You wore your Invisalign aligner trays and cared for your teeth, and now your treatment is done. You still need to take care of your teeth to keep your beautiful smile. Keeps these things in mind when you think about your oral care routine.

Retainers

Many patients do require a retainer after Invisalign treatment. This will be based on your unique situation. If a retainer is recommended by Dr. Nirschl and Dr. Reck, use it as directed. Retainers prevent your teeth from shifting back into their original position. You should also avoid hard, crunchy foods for the first couple of weeks as your teeth adjust. For younger patients, retainers are normally used until the wisdom teeth come in or are extracted.

Brushing and Flossing

Brushing and flossing must be part of your daily oral care. Flossing helps remove the plaque, which becomes tartar or calculus. This build up can lead to gingivitis and gum disease. Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm salt water rinse may relieve discomfort.

Your teeth may be slightly sensitive for a short time. They have been protected by your Invisalign aligner trays and now are fully exposed. You might want to try a sensitive toothpaste to get through the transition. Just ask; we will be glad to recommend the best type for your needs. If your teeth are stained, a professional whitening treatment can be considered.

Regular Dental Checkups

You still need to have regular dental exams. Professional cleanings and X-rays make sure that both your teeth and gums stay healthy so you can keep your teeth for life. If cavities or other problems are found, they can be taken care of quickly.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Brick, NJ team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

Is sedation dentistry right for me?

December 17th, 2015

At Princeton Dental, we are well-aware of the 25 million Americans who fear having to visit the dentist. Dental phobias are known to range anywhere from feeling mildly nervous to experiencing sweaty palms and even a racing heartbeat upon entering a dentist’s office. This anxiety can sometimes be so severe that it prevents people from visiting a dentist for years, postponing dental procedures that often result in costly problems down the road.

For those of our patients who have dental anxiety or dental phobia, it may be time to look into sedation dentistry, a safe and effective option for patients who are anxious or afraid, have a bad gag reflex, limited jaw opening, or for those who have a difficult time getting numb.

Sedation dentistry, a term that we use to refer to the use of anesthesia during treatment to put patients into a relaxed state, comes in many forms of sedation, from simply easing anxiety, to “conscious sedation,” which places patients in what we call a “twilight sleep.” Sedation dentistry at our Brick, NJ office allows our patients to drift through their appointments—including complex dental work—as well as feel completely relaxed throughout their visits, without any discomfort or pain. Sedation dentistry can turn a nerve-wracking visit into a comfortable and enjoyable one.

Dr. Nirschl and Dr. Reck and our team will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit, and will be able to tell you if you are a candidate for sedation dentistry.

By talking with Dr. Nirschl and Dr. Reck about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Princeton Dental. Give us a call today!

My teeth don't line up any more. Why?

December 10th, 2015

If your teeth don't line up like they used to any more, you may be suffering from temporomandibular joint disorder, often called TMD. This is a term that can actually be applied to any condition that occurs because the temporomandibular joint (TMJ) is inflamed.

The temporomandibular joint is essentially the hinge that holds your lower jaw to your skull, and when it is inflamed or damaged in any way, it can be extremely painful. You have two temporomandibular joint, one on each side of your jaw, and it is typical to experience TMD in both sides at the same time.

Shifting of the Teeth

The reason that your teeth may not line up as they once did is that the ball and socket joints are often out of alignment and, as mentioned above, often very inflamed as a result. In order to correct the problem, Dr. Nirschl and Dr. Reck may prescribe dental orthotics such as a lower jaw splint.

Sometimes, the wisdom teeth can play a role in the shifting of the teeth as well. If shifting wisdom teeth is combined with TMD, it may be necessary to have your wisdom teeth removed. Dental splints may follow if your teeth don't shift back to their proper positions on their own.

TMD is certainly a difficult thing to deal with, so if you experience your teeth shifting, scheduling an appointment at our Brick, NJ office is the smartest course. We want to help you get your smile back, so give us a call anytime.

Happy Gums, Happy Heart!

December 3rd, 2015

Medical doctors and dental health professionals, like Dr. Nirschl and Dr. Reck, have debated over the connection (or lack thereof) between gum disease and heart disease. While there still is no unanimous consensus on whether there is a link – or the extent to any link there may be – several studies offer some interesting insight into possible correlations that may prove that there are some common factors that point to a likely correlation between the two.

Could there be a link between gum disease and heart disease?

Dr. Simone Ricketts reported on the findings of an Australian study of 80 patients in Profile Magazine. That study showed that 70% of the patients who participated in the study and needed heart transplants also had gum disease. She noted that other studies show a similar pattern, indicating that patients who needed heart transplants or other cardiac surgery procedures, were more likely to have dental problems.

Not Just Heart Disease Linked to Gum Disease

It isn’t just heart disease that experts are linking to periodontal disease, however. More and more evidence is showing that many chronic inflammatory diseases such as diabetes can be linked to periodontal disease. Poor oral hygiene resulting in gum disease was evident in blood tests that showed positive markers for inflammation.

Experts looked at a combination of over 120 medical studies focusing on a link between dental health and heart health. The findings of that research were published in the Journal of Periodontology and the American Journal of Cardiology. While there was no agreement on a definitive link, the research showed some promising results, and offer information that may be helpful to both dental health professionals and their patients.

On its own, gum disease increases the risk of developing coronary artery disease. Data from the National Health and Nutrition Examination Survey (NHANES) showed that gum disease increases the risk factor for blood vessel and artery diseases when those arteries supply blood to the brain.

This is especially important for strokes because they are a common cause of inadequate blood flow to the brain. Data from another study of 50,000+ people found a higher risk of stroke among people with gum disease and tooth loss.

The study did, however, show two very important connections between gum and heart disease:

  • Both the gums of people with gum disease and the blood vessels of people who had atherosclerosis tested positive for similar types of bacteria.
  • Both patients with atherosclerosis and those with gum disease showed the presence of inflammation in their bodies.

Patients need to understand the importance of taking care of their mouths and doing whatever is necessary to ensure or support heart health – even if there is no guarantee that doing so will prevent either disease.

Thanksgiving Trivia

November 26th, 2015

At Princeton Dental we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Nirschl and Dr. Reck wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

Seven Foods that will Give You a Smashing Smile

November 19th, 2015

As the saying goes, you are what you eat. But did you know that what you eat also affects your smile? Chow down on these seven tasty treats, recommended by Dr. Nirschl and Dr. Reck and our staff, for a healthier mouth and a smashing smile!

Sesame Seeds

These tiny seeds that you find in some Chinese and Thai dishes (as well as on top of your hamburger bun) are packed with bone-building calcium. They help to preserve and protect the bone that supports your teeth and gums. As a bonus, they also help to build up your tooth enamel while sloughing away plaque.

Kiwi

This funny little fruit has the highest amount of Vitamin C of any fruit, including oranges! What does this mean for your chompers? Well, you need Vitamin C to keep your gum tissue healthy and strong. Without it, they are more susceptible to periodontal disease.

Sweet Potatoes

These are not just for Thanksgiving and Christmas dinner! You should add sweet potatoes to your regular diet. These tasty spuds are rich in Vitamin A, which your body uses to form tooth enamel and heal gum tissue.

Onions

You know those strong vapors from onions that make you cry? Well, they come from the sulfur compounds in the vegetable, which gives them a superpower-packed antibacterial punch. Get ready, though: Onions are most effective for your smile when you eat them raw!

Cheese

If you love cheese, you will love this news! Munching on some cheese helps prevent gum disease and cavities. The reason is that cheese is very high in calcium and phosphate, which help to balance the pH levels in your mouth. This in turn helps to preserve your tooth enamel and kill harmful bacteria.

Green Tea

Sipping on some green tea can not only help prevent cavities and gum disease, it can also kill the bacteria that cause bad breath. Score! Green tea has catechins, which actually kill the bacteria that cause plaque. So drink up! Your smile depends on it!

Celery

Have some fun with that crunchy stuff because, guess what? It is great for your smile! When you chew celery you produce saliva. Your saliva neutralizes cavity-causing bacteria. As a little added bonus, while you are chewing, it is giving your gums a little massage and cleaning between your teeth.

So grab some of these healthy snacks and give your mouth something to smile about!

How to Care for Your Invisalign® Aligners

November 12th, 2015

Is it possible to straighten the teeth without braces? Yes, it is. Welcome to the world of Invisalign aligners. Invisalign aligners are made from a clear, thermoplastic material that is custom made to fit your teeth. Unlike conventional braces, Invisalign aligners are removable. More importantly, the clear thermoplastic material makes the aligners invisible, which is ideal if the thought of metal braces and elastics make you self-conscious. For the best results, proper handling and care of your Invisalign aligners is important. Follow these steps to take care of your aligners:

1. Do not eat or drink hot beverages while wearing aligners. It's a good idea to get in the practice of removing the aligners before eating and drinking. Because the aligners are made of plastic resin, heat can distort and damage them. Also, eating while wearing the aligners will cause sugar and other food particles to stay on your teeth, which contributes to plaque and tooth decay.

2. Clean the aligner trays regularly. Invisalign aligners are exposed to the same bacteria and plaque that your mouth is, so you need to clean them as regularly as you clean your teeth. However, avoid cleaning the aligners with harsh chemicals. We recommend using a cleaning kit or some other type of specific solution. When it comes to cleaning Invisalign aligners, carefully follow the instructions given by Dr. Nirschl and Dr. Reck.

3. Store aligners in a cool, dry, safe place. When you’re not wearing the aligners, store them in the case provided by our office. If you don’t use the case, they can easily be lost. Keeping them out of reach of small children and pets is also a good idea. The last thing you want is for Fido to think your Invisalign aligners are chew toys.

4. Don’t chew gum while wearing aligners. There’s one thing that conventional braces and Invisalign aligners have in common: chewing gum damages both of them.

5. Don’t soak aligners in mouthwash. Many popular mouthwashes contain a color pigment. It’s possible that soaking Invisalign aligners in mouthwash will tint or stain them.

For more tips and tricks for a successful Invisalign experience, contact our Brick, NJ office!

Dental Anxiety

November 5th, 2015

If you suffer from dental anxiety, a visit to Princeton Dental might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Brick, NJ office, there is nothing to be afraid of. We understand you may be anxious about receiving dental treatments, and we’re here to help you have a comfortable, pain-free experience that will put your fears to rest.

You’re not alone!

A 1984 study that appeared in the Journal of the American Dental Association reported that up to 75% of all adults in the United States have some degree of dental anxiety. This includes five to ten percent whose dental anxiety is so severe that they try to avoid a dentist’s office at all costs.

Treatment

If you experience dental anxiety, it is important to let our office know in advance, so we can provide you with the dental care you need with an added touch of TLC. We can assist by explaining behavioral techniques for relaxation, by administering nitrous oxide (laughing gas), or by prescribing a relaxing medication prior to your dental procedure.

The Intriguing History of Halloween

October 29th, 2015

Halloween is fast approaching, and Drs. Nirschl and De Freitas wanted to be sure to wish our patients a happy day, no matter how you might celebrate this holiday. The Halloween that is familiar to most people today bears little resemblance to the original Halloween; back in the "old days" it wasn't even called Halloween!

Festival of the Dead

Halloween started out as a Celtic festival of the dead that honored departed loved ones and signified a change in the cycle of the seasons. The Celtic people viewed Halloween, then called "Samhain," as a very special day – almost like our New Years day in fact, as their new calendar year began on November 1st. Samhain was the last day of autumn, so it was the time to harvest the last of the season's crops, store food away for winter, and situate livestock comfortably for the upcoming cold weather. The Celts believed that during this day, the last day of winter, the veil between this world and the spirit world is the thinnest, and that the living could communicate with departed loved ones most effectively on Samhain due to this.

Modern Halloween

Halloween as we know it today started because Christian missionaries were working to convert the Celtic people to Christianity. The Celts believed in religious concepts that were not supported by the Christian church, and these practices, which stemmed from Druidism, were perceived by the Christian church as being "devil worship" and dangerous.

When Pope Gregory the First instructed his missionaries to work at converting the Pagan people, he told them to try to incorporate some of the Pagan practices into Christian practices in a limited way. This meant that November 1st became "All Saints Day," which allowed Pagan people to still celebrate a beloved holiday without violating Christian beliefs.

Today, Halloween has evolved into a day devoted purely to fun, candy, and kids. What a change from its origins! We encourage all of our patients to have fun during the holiday, but be safe with the treats. Consider giving apples or fruit roll-ups to the kids instead of candy that is potentially damaging to the teeth and gums.

Remind kids to limit their candy and brush after eating it! Sweets can cause major tooth decay and aggrivate gum disease, so to avoid extra visits to our Brick, NJ office, make your Halloween a safe one!

Keep It Cheesy for a Long-Lasting Smile

October 22nd, 2015

You’ve heard people tell you to say “cheese” when you’re having your picture taken, probably more times than you can count. There is another reason you should be saying “cheese” … or “YES” to eating cheese.

Although Drs. Nirschl and De Freitas and our staff routinely encourage our patients to brush their teeth after eating, the one time you don’t want to do that, at least not immediately, is after eating cheese.

Study Finds Important Benefit From Eating Cheese

CBS News reported on the results of a study that was published in the May/June 2013 issue of General Dentistry, a publication of the Academy of General Dentistry. The study showed that cheese increases dental plaque pH, but in this case, the plaque increase isn’t a bad thing. When you eat cheese, you increase the pH of the plaque on your teeth, and create a protective coating that may lower your risk of getting dental caries -- more commonly known as cavities.

An analysis of the story from the General Dentistry journal, including the details of the study and its participants, was published in Science Daily. The study looked at 68 children between the ages of 12 and 15. A similar study was conducted by British researchers who reported their findings in the British Dental Journal in 1999.

How the Study Worked

For the 2013 study, researchers divided kids into three groups. Participants in group one ate cheddar cheese. Participants in group two drank milk, while participants in group three ate sugar-free yogurt. All participants were told to eat or drink their assigned foods for three minutes, after which they swished water in their mouths.

Researchers tested every participant’s mouth at ten, 20, and 30-minute intervals. They found no changes in the mouths of participants in the milk drinking and sugar-free yogurt eating groups, but every time they tested the pH levels in the mouths of the ones who had eaten cheese, researchers saw the levels quickly increased.

They concluded that cheese has anti-cavity properties. That isn’t the only benefit, however. Another study, in which related findings were reported, appeared in the Journal of Contemporary Dental Practice in the summer of 2000. In that study, researchers found that cheese may give teeth a protective coating that helps lessen enamel erosion caused by acidic foods, particularly from sugar-sweetened soft drinks.

So don’t just say cheese for pictures. If you want to have a happy, healthy and long-lasting smile, go for cheese. It’s good for your bones, too!

Eating and Invisalign®

October 15th, 2015

One of the greatest advantages to using Invisalign is that it provides maximum results with minimal impact on your everyday life. Invisalign is comfortable, easy to insert, and simple to remove. Because you can remove Invisalign aligners, you can enjoy all your favorite foods and beverages without worries about getting food stuck in the wires and brackets of traditional braces.

Eating and Invisalign

While the aligner is durable and strong, you should remove it before you eat or drink beverages, as the chewing action inside your mouth can break, crack, or distort the aligner. Even minute damage to the Invisalign tray will prevent it from aligning your teeth properly. Furthermore, eating with Invisalign in your mouth can be quite messy.

Beverages and Invisalign

Repeated exposure to hot liquids may also cause the Invisalign aligner to distort. This distortion changes the shape of your aligner in a way that will affect how it straightens your teeth. Contact our Brick, NJ office if your Invisalign aligner has distorted after consuming a hot beverage.

Fluids can settle inside the aligner to “bathe” the teeth. Bathing teeth in acidic fluids can be especially problematic, as the acids can wear away tooth enamel. Exposure to acidic fluids is not normally a problem, as saliva neutralizes and buffers the acid then washes it away. Wearing an aligner, however, prevents the saliva from doing those jobs, increasing your risk for tooth decay.

Colored drinks may also change the color of your teeth. Most discoloration is temporary but stubborn stains may occur.

To prevent discoloration and tooth decay, brush your teeth after every meal or beverage before putting in your Invisalign aligners. If you do not have access to clean water, chew sugar-free gum to remove bacteria, acid, and food particles from your teeth. As a last resort, you may leave your aligners out for an hour or two until you can brush and floss properly. Before inserting Invisalign, rinse the aligner in lukewarm water or use the Invisalign cleaning kit.

Contact our Brick, NJ office for more information about eating and Invisalign.

Are baby teeth really that important?

October 8th, 2015

Your infant’s first teeth will begin to appear around six to 12 months of age. You might wonder how important these primary teeth really are. After all, baby teeth are destined to fall out within a few years and be replaced by a full set of permanent teeth. However, baby teeth have important functions, and proper care can set the stage for excellent oral and overall health.

Promote Better Nutrition

The appearance of your baby’s primary teeth around six to 12 months of age coincides with changes in your infant’s nutritional needs. Beginning at six months, exclusive breastfeeding is no longer nutritionally sufficient; this is the age at which you should introduce solid foods.

At six to eight months, when your baby can start to chew, strained or pureed fruits and vegetables are appropriate. As your little one’s teeth grow in and chewing abilities progress through 12 months of age, you can gradually add cereal, bread, cooked meats, and other adult foods to his or her nutritious diet.

Increase the Life Expectancy of Baby Teeth

Although baby teeth are inevitably going to fall out and be replaced by permanent ones, making baby teeth last serves an important role that can have benefits into the future. Baby teeth serve as placeholders for permanent teeth. If they decay and fall out too soon, permanent teeth are more likely to grow in crooked.

How to Take Care of Baby Teeth

Your baby’s primary teeth are already in his or her mouth at birth; they are just invisible because they have not broken through the gums. Since they are already present, your baby can get cavities if you do not practice proper oral hygiene from the beginning.

  • Do not let your baby fall asleep with a bottle in his or her mouth.
  • Brush your child’s baby teeth twice a day as soon as they come in.
  • Floss your child’s teeth as soon as he or she has two teeth that touch.
  • Visit Princeton Dental for your baby’s first checkup when the first tooth arrives.

Year-End Insurance Reminder

October 1st, 2015

Drs. Nirschl and De Freitas, as well as our team at Princeton Dental, would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s high time to schedule your dental visits so you optimize your benefit.

Now is the time to reserve your appointment with us. Space is limited and we tend to get busy around the holidays, so don’t wait to give us a call at our convenient Brick, NJ office!

Fewer Adults are Visiting the Dentist

September 24th, 2015

Our team at Princeton Dental recently learned that in the decade between 2000 and 2010, the amount of adults who regularly visited their dentist declined, according to research released by the American Dental Association's Health Policy Resources Center (HPRC). In fact, the HPRC found that the percentage of adults who had regular checkups every six months declined from 41 percent in 2003 to 37 percent in 2010. The largest decline in dental care occurred in the 35- to 49-year-old age group. That’s down from 43 percent in 2003 to just 38 percent in 2010.

There is some good news, however. While adult visits may have decreased, children's visits were on the rise, particularly among low-income families. More low-income children are visiting the dentist now than they were ten years ago. And the HPRC notes that between 2000 and 2010, dental visits among low-income children increased in 47 states.

Have you ever wondered why the American Dental Association and Drs. Nirschl and De Freitas recommend that you come in for a dental checkup and cleaning every six months? While daily oral hygiene habits are essential to good oral health, professional dental cleanings at Princeton Dental ensure your and your child’s teeth are treated to a deeper level of cleaning. In addition to a thorough cleaning and teeth polishing, regular visits at our Brick, NJ office help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue for symptoms of any oral disease. We will also check old fillings and restorations, as these can wear away over time from constant chewing, clenching, or grinding at night.

If you are predisposed to oral diseases due to age, pregnancy, tobacco use, or medical conditions such as diabetes or dry mouth, Drs. Nirschl and De Freitas may recommend you visit our office more often than every six months.

If you are overdue for your next checkup and cleaning, please give us a call to schedule an appointment!

Choosing the Dental Filling Option that's Best for You

September 17th, 2015

Did you know there are as many types of dental fillings as there are flavors of ice cream? Okay, maybe that’s an exaggeration. Still, when you visit the dentist with a cavity, there are many filling options. Most of us just sit in the chair, open our mouths, and let the dentist work his or her magic. But have you ever stopped to consider what the dentist is filling and restoring your decayed or broken tooth with?

Five types of dental fillings

There are five basic kinds of dental filing material. The dentist decides which type to use based on the degree of the decay, the cost of the material, and the type of dental insurance you have.

  1. Dental amalgam, or silver fillings, have been used to fill cavities for more than 150 years. Dental amalgam is the most common type of dental filling. It's strong, durable, and less expensive than other types.
  2. Composite fillings, or white fillings, are popular because the color matches the rest of your teeth. Composite fillings are a combination of resin and plastic. They are more aesthetically pleasing than silver fillings, but are also less durable.
  3. Ceramic fillings are durable and visually appealing (tooth-colored), but they are expensive. They are made of porcelain and have been shown to be resistant to staining.
  4. Glass ionomers are typically used on children whose teeth are still changing. Constructed from glass and acrylic, glass ionomers are designed to last fewer than five years. The benefit of these dental fillings is that they release fluoride, which protects the changing tooth from further decay.
  5. Unless you’re a rock or movie star, gold fillings aren’t common. While a gold filling is durable, non-corrosive, and can last more than 15 years, it not only takes more than one dental visit to place, but, as you can imagine, it is expensive.

For more information about fillings, or to schedule an appointment with Drs. Nirschl and De Freitas, please give us a call at our convenient Brick, NJ office!

Best Ways to Prevent Bad Breath

September 10th, 2015

Nobody likes bad breath, and although it can sometimes be difficult to tell if you have it, it is always better to practice good oral health than risk having a smelly mouth. There are many ways to reduce or eliminate bad breath, some are definitely more effective and longer lasting than others. Check out ways to do so below.

Floss Regularly

As difficult as it can be to remember to floss regularly, when it comes to bad breath, flossing is one of the easiest and most cost effective ways to freshen your mouth. See, flossing reduces the plaque and bacteria found in areas of your mouth that a toothbrush simply can't reach, and in turn, it rids your mouth of the smell associated with that bacteria. While flossing may not eliminate bad breath on its own, if you do it along with other health oral hygiene habits like brushing, then you may just develop a fresher smelling mouth.

Use Mouthwash

Using some sort of mouthwash can really freshen up your breath, especially if you find it still smells after brushing and flossing. There is a wide variety of mouthwash products on the market, however, you can also create your own by simply using baking soda mixed with water.

Always Brush after You Sleep

Whether after taking a nap, or having a full night of sleep, you will want to brush your teeth in order to reduce bad breath. The truth is, bacteria accumulates in your mouth while you are sleeping (even during a short nap) and that is ultimately the source of bad breath. So next time you wake from a good slumber, give your mouth some brushing and you will find it makes a big difference in the freshness of your breath.

There are many ways to freshen your breath beyond just using gum or mints, the above mentioned are just a few for you to try. Test them out and you will likely find your bad breath problem is solved, or at least considerably reduced. Of course, you can always ask Drs. Nirschl and De Freitas at your next visit to our Brick, NJ office.

Labor Day: Our favorite holiday to rest!

September 3rd, 2015

Labor Day, celebrated on the first Monday each September here in the United States, is a holiday devoted to the American working community. The purpose of the holiday is honoring the country's workers and their contributions to the strength of our country as a whole.

How Labor Day Started

There is actually some debate as to the origins of Labor Day. It is uncertain whether Peter McGuire, a cofounder for the American Federation of Labor, or Matthew Maguire, who was the secretary of Central Labor Union of New York, had the great idea. However, the Central Labor Union's plans were what launched the first Labor Day in America.

The First Labor Day

The very first Labor Day was celebrated on September 5th, 1882. The Central Labor Union then held annual celebrations on September 5th for what they called a working man's holiday. By the year 1885, the Labor Day celebration had spread to many different industrial areas, and after that it began spreading to all industries in the United States.

Labor Day Today

Labor Day today is a huge United States holiday during which we honor the country's workers with a day of rest and relaxation or a day of picnics and parades. This holiday is truly one to honor the many people who work hard to contribute to the economic well-being of our great country!

Our team at Princeton Dental hopes all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the Brick, NJ area, or travel out of town, have fun, and don't forget to brush!

Preventing Periodontal Disease

August 27th, 2015

Periodontal disease is one of the most prevalent health issues in America, with the Centers for Disease Control reporting it affects approximately 65 million people, or roughly 47 percent of the population. People with periodontal disease have bacteria beneath the surface of the gums, which are responsible for tissue inflammation that can lead to pain, bleeding, gum recession, and even permanent tooth loss. Unfortunately, the chances of developing gingivitis and periodontitis only increase with age, with 70 percent of adults over age 65 having at least some degree of gum disease. However, a lot can be done to prevent periodontal disease and keep teeth and gums healthy.

Daily Hygiene

The process you take each day to clean your teeth and gums goes a long way towards preventing periodontal disease. Since gingivitis and periodontitis are caused by plaque build-up, the most important steps you can take to prevent them involve cleaning your teeth each morning, night, and after meals. Start by brushing your teeth and tongue, and follow up with mouthwash to kill any lingering bacteria. At least once per day, take time to floss thoroughly along the gum line to prevent gum infection from occurring in between teeth.

Periodontal Exams

In addition to caring for your teeth and gums at home, it is also important to see Drs. Nirschl and De Freitas for comprehensive exams. We can detect gingivitis in its earliest stages and treat it before it has a chance to progress. Everyone needs occasional periodontal exams, though people with certain risk factors may require them more often. Examples include individuals who smoke or have a personal or family history of gum disease.

Treating Periodontal Disease

See Drs. Nirschl and De Freitas right away if you suspect that you may be experiencing the warning signs of periodontal disease. Symptoms may include red, swollen, or bleeding gums, gum recession, pockets that have formed between the teeth and the gums, and even tooth loss. If you are diagnosed with periodontal disease, treatments are available to help restore your oral health depending on how advanced your gum disease has become. For example, gingivitis may require only a thorough cleaning and topical antibiotic. Periodontal disease that has been allowed to progress may require scaling and root planing, and in some cases, surgery to prevent tooth, bone, and gum loss.

Contact our Brick, NJ office to schedule an appointment and learn about the ways we can help prevent and treat periodontal disease.

Drill-Free Dentistry with Air Abrasion

August 20th, 2015

Do you dread the dentist? Do you hate the sound of the drill, fear anesthesia or needles, and put off your regular checkups because you dread being told you will have to undergo dental procedures? Then drill-free air abrasion dentistry is for you. Air abrasion is a drill-free technique used by Drs. Nirschl and De Freitas to remove tooth decay, prepare teeth for bonding, and remove old fillings and stains. It is particularly appropriate for young children or people with dental anxiety, because it is sound- and vibration-free. It allows the creation of a relaxing atmosphere, requires less anesthesia in many cases, and involves much less noise.

How does drill-free dentistry work?

Air abrasion is like a mini sandblaster; it sprays away decay-causing tartar and plaque. Tartar and plaque is removed by a fine stream of particles, comprised of silica, aluminum oxide, or a baking soda mixture, which is sprayed toward the tooth by compressed air or a gas in a dental hand-piece. The debris is then suctioned away.

Advantages of air abrasion dentistry

  • Leaves more of the healthy tooth matter
  • Reduces the risk of chipping or fracturing the tooth
  • Generates no heat, sound, vibration, or pressure
  • Reduces the need for anesthesia
  • Is a relatively simple, quick procedure
  • Allows treatment of multiple teeth in one visit
  • Is a relatively dry procedure, which allows for easy placement of composite fillings

Drill-free dentistry can go a long way to easing your dental anxiety. To enter Princeton Dental and not hear the high-pitched squealing of the drill is, in itself, a big plus. Then to know you will have to receive little or no anesthesia to have a cavity filled with air abrasion, and that this method will be a quiet, relatively pain-free procedure … can you imagine it?

Contact Princeton Dental at our convenient Brick, NJ office to see if air abrasion dentistry is right for you!

Are dental X-rays safe?

August 13th, 2015

YES! X-rays have been used in dentistry for a long time, and the amount of radiation has significantly decreased with advances in technology. While there is risk in every health diagnostic procedure at Princeton Dental, the benefits must outweigh the risks. Dental X-rays do indeed fall into this category.

X-rays are exposed to a type of film to produce an image. The amount of X-rays required to produce this image differs with film speeds. Speed E or F is highly recommended, and digital X-rays require up to 50% less than speed E or F film. The digital X-ray software can adjust the exposure to produce a quality image. Digital X-rays are becoming a new standard and are most common.

Lead aprons have been used to reduce the amount of scatter radiation. All X-ray units have a cone to focus the X-ray beam so the exposure is highly localized. Lead aprons continue to be worn as a precaution for pregnant women, and a thyroid collar should also be worn. In most cases, this is sewn into the lead apron.

We get radiation exposure from environmental factors as well as healthcare diagnostic and treatment tools. To place this in perspective, in one year a person is expected to have 360mRem per year from the sun, air etc. By comparison, a single set of bitewing X-rays is 0.3mRem. Radiation can accumulate in our body over a lifetime, and additional exposure should be avoided whenever possible.

Top Five Dental Myths

August 6th, 2015

Sometimes the line between fact and fiction is easily blurred. This is certainly the case when it comes to dentistry, where myths and misconceptions abound. In a bid to put an end to health hoaxes, here are five dental myths to chew over.

Sugar Is the Number One Culprit of Tooth Decay

Sugar will rot your teeth. If you’re a parent, chances are you tell your children this every time they ask for something sweet. And chances are your parents told you the same thing. There’s no denying that sugar leads to cavity formation, but it's not the number one culprit of tooth decay. Sugar adds fuel to the fire, but it doesn’t light the match.

Going to the Dentist Is a Painful Experience

There are people who don’t go to the dentist because they think it’s going to be a painful experience. It’s time to put this myth to rest. New dental technology, developments in anesthetics and analgesics, and more conservative dental procedures have made visits to our Brick, NJ office a more comfortable experience.

Bad Breath Means You’re Not Brushing

Poor dental hygiene can cause bad breath, but it’s not the only thing that will leave you looking for a breath mint. There are many factors that can cause bad breath, including illness, acid reflux, medication, and dehydration. In addition, sometimes what you eat or drink can give you bad breath no matter how many times you brush and floss. Next time you order a sub for lunch, skip the onions and garlic.

Bleaching Products Weaken Teeth

Gels, pastes, strips — there are all sorts of products available to make our pearly whites even whiter. If used according to the directions, bleaching products are harmless. They do not affect the health or strength of the teeth, only the color. At the same time, too much bleaching can cause temporary tooth sensitivity or irritated gums; the enamel, however, is not weakened.

You Will Know When You Have Tooth Decay

This is the type of false information that can lead to serious dental problems. There are no early symptoms of tooth decay. By the time you experience pain, your tooth decay has led to nerve damage, which means your decay is advanced and extensive. The only way to know if you have tooth decay —and to prevent it — is to visit Drs. Nirschl and De Freitas twice a year for a checkup and cleaning.

Alleviate Tooth Sensitivity

July 30th, 2015

If a sip of ice water, spoonful of ice cream, or piping hot latte is enough to send shivers up your spine from tooth sensitivity, be assured you are not alone. It’s estimated that as many as one in eight adults suffers from tooth sensitivity.

What causes sensitive teeth?

Some of the causes of tooth sensitivity include brushing too hard, a cracked tooth, receding gums, periodontal disease, tooth bleaching, or other conditions that expose the sensitive roots of your teeth. For example, brushing too aggressively can injure your gums, and lead to exposed roots and tooth sensitivity.

When the enamel on the outside of the tooth or tissue located between the teeth breaks down or wears away, nerves inside the tooth trigger sensitive teeth that are particularly noticeable when you drink or eat anything hot or cold.

How to alleviate tooth sensitivity

Fortunately, there are a number of things you can do, both at home and at the dental office, to reduce the discomfort of sensitive teeth. Brushing with desensitizing toothpaste is one of the ways to reduce tooth sensitivity: it works well for many patients, and is typically the first course of action.

  • Brush with toothpaste specifically designed for sensitive teeth.
  • Change the way you brush by using a soft toothbrush and not brushing too aggressively.
  • Avoid brushing teeth after consuming acidic foods and beverages, like orange juice and pickles.
  • Drink water or milk after eating or drinking acidic foods or beverages.
  • Sip through a straw when you drink acidic beverages.
  • Wear a mouthguard at night to prevent teeth grinding that wears down teeth.
  • Ask Drs. Nirschl and De Freitas about fluoride dental treatments or plastic resin.

For moderate-to-serious cases of tooth sensitivity, more invasive professional dental treatments are available. These include a bonding agent designed to seal/cover the exposed root, obtaining new gum tissue through graft (for receding gums), fillings, crowns, inlays, or bonding. When tooth sensitivity is persistent and results in hypersensitivity, endodontic treatment in the form of root canal may be recommended.

To learn more about tooth sensitivity, or to schedule an appointment with Drs. Nirschl and De Freitas, please give us a call at our convenient Brick, NJ office!

How Tooth-Colored Fillings Improve Your Smile

July 23rd, 2015

Today’s crowns, veneers, and tooth colored fillings are very natural looking compared to early counterparts. There was a time when dentists placed silver fillings exclusively. This material is still used, however the most common material used today in fillings is composite, tooth-colored fillings. Composite fillings can be made to match any shade of tooth and even let light travel through them like natural enamel.

Composite fillings are great in many different scenarios. The most obvious reason is when a cavity is present. This is an excellent way to seemingly erase the imperfection that once was. It is almost as if the cavity was never there.

Placing composite fillings to reshape teeth can also minimize excessive spacing. In the case of a diastema, (a large space between the two front teeth) composite material is a non-invasive and cost-effective choice that provides instant results. It can be an alternative to braces.

Mottled enamel is a symptom of fluorosis, which causes discoloration and imperfections in the enamel. Composites are the material of choice for masking this condition.

Composite fillings are easy to place, easy on the eyes, and easily repaired. With skill and good composite material, a filling can be easily disguised. This look is desired most in our society today, where dental perfection is now standard.

In conclusion, your smile is in good hands with composite fillings. There are some great materials that give a near perfect match to the appearance of natural tooth enamel. Smile with confidence knowing no one ever has to know. Your secret is safe with us at Princeton Dental!

The Link Between Dental Hygiene and Your Overall Health

July 16th, 2015

When patients of Princeton Dental hear any mention of oral or dental hygiene, they probably think of brushing and flossing their teeth. Although these are extremely important, the term dental hygiene encompasses much more than that. Your mouth’s health, including your teeth, has an important impact on your overall physical health. The National Institute of Dental and Craniofacial Research published the surgeon general's first ever report on dental health. It is called A National Call to Action to Promote Oral Health. In that report, the Surgeon General states that the 1948 World Health Organization expanded its earlier definition of health to "a complete state of physical, mental, and social well-being, and not just the absence of infirmity."

The Importance of Oral Health to Total Overall Health

One of the most important themes that the dental health report stressed is that you cannot be healthy without oral health. It went on to explain that oral health and general health are inextricably linked, and therefore can't be seen as two separate things. Because oral health is so critical to overall health, it should be included in all community health programs. For individuals, this means that it is just as important to take care of your mouth, your teeth, and your overall oral health as it is to take care of the rest of your body. The two most prevalent dental diseases are caries (cavities), also known as tooth decay, and periodontal (gum) disease.

Ways that Oral Health Impacts Overall Health

One important way in which good oral health contributes to better overall health is seen in the findings of several studies in which the blood sugar levels of diabetic patients were significantly lowered when their periodontal (or gum disease) was successfully treated. Your mouth has roughly 500 different species of bacteria. Many are harmless, and some are even good bacteria that help maintain the balance of your intestinal flora. Harmful bacteria can infect your gums, causing gingivitis. Your body's immune system may try to fight off the alien invaders, but they attack your gums, causing inflammation and bleeding when you brush.

Now that you know how important good dental hygiene is, be sure to see to get your teeth cleaned every six months, have regular dental checkups, brush and floss your teeth at least twice daily, and replace your toothbrush at least every couple of months. Call us to schedule your next appointment at our convenient Brick, NJ location.

Top Five Ways to Improve Heart Health

July 9th, 2015

While there is no definite evidence that if your prevent gum diseases, like periodontitis, that you may be able to prevent a heart condition or heart disease. The only thing experts, like Drs. Nirschl and De Freitas, know for sure is that if you take care of your gums it can lessen atherosclerosis, (build-up of artery clogging plaque) that may result in a heart attack or stroke.

Could periodontal disease cause heart attacks?

Regardless of your oral health, if you're at a high risk for heart disease, you need to take action.

  • Maintain a healthy weight or lose weight.
  • Consume healthy foods and beverages.
  • Exercise several days the week. Walking is a powerful and lightweight exercise and will clear your head while helping your body get or stay healthy.
  • Control any medical conditions you may have such as high cholesterol, diabetes, or high blood pressure.
  • Reduce your stress. Have lunch with a friend, go for a walk in the park, take a bubble bath, mediate, or do whatever you find relaxing.
  • Get a social life. Laughing reduces stress and “feel good” hormones. Everyone needs to feel like they are a part of something: join a book club or any activity where you can interact with other people at least once or twice a week
  • Be sure to get enough sleep. The recommended amount is eight to nine hours a night. It has been proven that a lack of sleep increases your risk for angina, strokes, and heart attacks.
  • Practice good oral hygiene to keep bacteria in check and your mouth healthy.

Contact our Brick, NJ office if you have questions about your heart and oral health. If you take practice good oral hygiene, both your mouth and your heart will thank you.

Fun Facts for the Fourth

July 2nd, 2015

The Fourth of July is a great time to get together with friends and family members for BBQ, games, fireworks, and other celebrations in honor of our country’s independence. While your fellow revelers eat hot dogs and wave flags, you can impress them by sharing these fascinating facts and historical tidbits about some of our country’s traditions and symbols from the team at Princeton Dental.

The Statue of Liberty

With a torch in one hand and a tablet in the other, the Statue of Liberty is one of the most iconic and recognizable symbols of our country. However, as recognizable as certain parts of the statue are, not many people know that broken shackles, which represent oppression and tyranny, are lying at Lady Liberty’s feet. According to the Statue of Liberty-Ellis Island Foundation, the copper-plated lady weighs in at a whopping 450,000 tons and has been holding her torch up for more than 125 years, which must make for some impressive arm muscles.

Nathan’s Hot Dog Eating Contest

Since 1916, people have been flocking to Coney Island on the Fourth of July to witness what some people call the “superbowl of competitive eating.” Nathan’s Hot Dog Eating contest challenges competitors to devour as many hot dogs as they can in just ten minutes, with the current record holder swallowing a whopping 68 hot dogs! If you’d like to witness this bizarre and frenzied eating competition but you won’t be anywhere near Coney Island on the fourth, don’t worry. ESPN has been broadcasting this popular event for several years, so you can watch from the comfort of your couch while you eat a reasonably portioned meal.

The History Behind Fireworks

Viewing the nighttime fireworks display is exciting way to finish off the fourth. Many people know that these brilliant displays probably originated with the Chinese. However, many historians also believe that fireworks were stumbled upon when the Chinese roasted bamboo sticks over fires and watched them explode. After many years of roasting the sticks, a group of alchemists created an early form of gunpowder, which they stuffed into the bamboo sticks to create an even more powerful explosion, paving the way for the today’s modern fireworks.

Whether you’re planning on visiting the Statue of Liberty, watching fireworks in Brick, NJ, or even participating in a hot dog eating contest, Drs. Nirschl and De Freitas and our team hope you have a safe and fun-filled holiday. Happy Fourth of July!

Caring for Your Smile While Wearing Invisalign®

June 25th, 2015

Getting your braces off is exciting. You’ve been working on your new smile for months or years, and it’s time for the trips to our Brick, NJ office to pay off. Can you imagine how bad it would be to discover that your teeth are straight, but that there’s decay?

Caring for your smile while wearing Invisalign goes beyond just waiting for your teeth to get straighter. It involves cleaning your teeth regularly and thoroughly to prevent tooth decay. That way, your smile will be more beautiful than ever when you’re done with your Invisalign treatment.

Take Your Trays Out

The first difference you may notice between Invisalign and traditional metal braces is that Invisalign aligners are invisible, but there’s another important distinction as well. Invisalign braces are removable. You can take the trays out, and you should. Remove the trays while you’re eating so you don’t get food stuck in them. Also, remove them while you’re cleaning your teeth so that you can have full access to all the nooks and crannies in your mouth.

Brush Normally

The guidelines for brushing your teeth with Invisalign don’t change compared to braces. Brush your teeth at least twice a day using a soft toothbrush and a fluoride toothpaste, being sure to get all surfaces of your teeth. If possible, brush after each meal.

If you can’t, be sure to drink some water and swish it around in your mouth when you’re done eating to get rid of the extra food on your teeth. Leaving carbohydrates, such as sugar and starch, on your teeth opens the door to tooth decay.

Floss and Wash

Flossing your teeth gets out the bits and pieces stuck between them. It’s a time-consuming task when you need to navigate the wires of traditional metal braces, but thanks to Invisalign’s removable design, flossing is no problem. Rinsing your mouth with a fluoride antibacterial mouthwash also helps clean your teeth because it gets into all of the spaces. Floss and rinse one or two times daily.

Cleaning Your Trays

Cleaning your Invisalign trays keeps them from getting riddled with bacteria, and it helps keep your teeth free from excess food. You can use the Invisalign cleaning system, which involves placing the trays in a tub with cleaning crystals. The plastic trays are clean after 15 minutes. You can also ask Drs. Nirschl and De Freitas for other ways to clean your trays.

What is gum disease?

June 18th, 2015

Gum disease, also called periodontal disease, is an infection of the gum tissues, and is something seen all too often by Drs. Nirschl and De Freitas. Extending from inflammation of the gums (gingivitis) to more serious infections and complications (periodontitis), there is a wide range of gum disease severity.

Not only does gum disease affect the health of your mouth and teeth, but according to the National Institute of Dental and Craniofacial Research, it can affect your general health as well. This is because an infection in the mouth as a result of gum disease can travel to other parts of your body through the bloodstream. Gum disease is also a risk factor for heart disease, and can play a role in blood sugar levels.

Causes and Risk Factors

Gum disease is essentially caused by the build-up of bacteria in your mouth. If you brush and floss every day, this bacteria is washed away, but if not, it turns into plaque. If left unchecked, this plaque buildup can lead to gum disease.

Some of the common risk factors for gum disease include not taking good care of your teeth, failing to have one’s teeth cleaned every six months, experiencing hormonal changes, smoking cigarettes, developing diabetes, being genetically exposed to gum disease, or taking certain types of medications.

Gingivitis versus Periodontitis

There are two main types of gum disease: gingivitis and periodontitis. Both are bad for you, but gingivitis is less severe. It is typically the first stage, and involves inflammation of the gums from plaque and tartar on the teeth. If your gums are swollen and bleed, this is a sign of gingivitis.

Periodontitis, a more severe case of gum disease, occurs when your gums pull away from the teeth and pockets form. These pockets are a concern because they can harbor infection.

Treatments for Gum Disease

Treatments for gum disease depend on the cause and severity. Deep cleaning to remove the plaque underneath the gum line – called root scaling and planing – is one of the most common treatments for gum disease. Antibiotics placed under the gums to rid you of an infection or reduce the inflammation may also be advised. In some cases, surgical procedures, including flap surgery and bone and tissue grafts, are needed.

If you have bleeding or swollen gums, pockets between your gums and teeth, pain, or other issues, you might have gum disease. Visit Princeton Dental for an exam and learn the best course of action.

Getting to the Bottom of Chewing Gum Myths

June 11th, 2015

It's a moment many of our patients have experienced. One second you're chewing on a piece of gum, then suddenly you forget to keep chewing and swallow the entire rubbery gob whole! It's at this point you remember your mother warning you as a child that if you swallow gum it will stake a claim and take up residency in your belly for seven years. Drs. Nirschl and De Freitas and our team at Princeton Dental hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter your stomach and move through your digestive system just like any other piece of food. So, if you ever accidentally swallow a piece of gum, there is no need to worry!

That being said, it's important to know that gum does not have any dietary benefits, so while it’s not exactly harmful to swallow, you still want to avoid swallowing it. If you are an avid gum-chewer, we encourage you to chew sugarless gum, especially if you are wearing braces, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but has fewer cavity-causing ingredients. In fact, many brands contain an additive called xylitol, a natural sweetener known to fight cavity-causing bacteria. Xylitol is also known to increase salivary flow as it rinses away plaque and acid.

The fact is, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long-term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

If you have any questions about chewing gum, please contact our office. Happy (sugar-free) gum chewing!

Getting Ready for Summer Sports

June 4th, 2015

With the warmer and longer days here, we know many of our patients at Princeton Dental will be much more active in the summer. Though most of our patients are probably already ready to hit the field for some summer fun, we thought we would discuss a few precautions to take when it comes to keeping your teeth safe as you enjoy playing your favorite sports.

Use a Mouthguard

Are your kids participating in contact sports this summer? If the answer is yes, we strongly encourage you to have them fitted for a mouthguard at Princeton Dental before the season starts. Athletes can avoid serious mouth and jaw injuries by using a mouthguard.

Be Mindful of Sports Drinks

While sports drinks can be refreshing after a game, they unfortunately contain high levels of sugar and citric acid, which are known to erode the teeth and reduce the minerals in the outer tooth enamel. The simplest way to prevent sports drinks from damaging your teeth? Avoid them completely and drink water instead. Water is a great option to keep you hydrated before, during, or after a game.

Floss, Floss, Floss

While we always tell our patients about the importance of flossing, it is especially important on the day of the game. Athletes are likely to consume more sugar; from energy bars and chews to gum, you are not doing your teeth any favors. All that sugar may give you that extra bounce in your step when out on the field, but we want you to remember to floss when you get home, or else contend with an increased risk of cavities down the road.

If you have any questions about keeping your teeth and mouth healthy while participating in summer sports, please give us a call at our Brick, NJ office! Have fun!

Princeton Dental Announcement

May 28th, 2015

DrReckDear friends and patients of Princeton Dental,

It is with mixed emotions that I announce some major changes in staff at Princeton Dental.  After 7 years of dedicated practice with us, Dr. Rosemary DeFreitas has chosen to pursue a career opportunity elsewhere.  We wish her nothing but the best in her future endeavors.

Since the patient base and office hours are more than one dentist can accommodate, we have addressed the need for a new associate doctor.  As such, I would like to take this opportunity to introduce our new associate dentist who will replace Dr. DeFreitas.  We are fortunate and excited to welcome Dr. Franz Reck to the practice.  On several occasions, Dr. Reck has filled in for me while I was away at continuing education courses or on travel with my family.  He was well-received by both the staff and patients.  Please allow me to extend a warm welcome to Dr. Reck.

About Dr. Reck

With over 25 years of experience, Dr. Reck has been providing his patients with exceptional dental care.  Utilizing a gentle, compassionate manner, he first and foremost takes the time to acquaint himself with each patient’s individual needs.  It has been his goal to treat patients in a timely fashion, applying and embracing up to date advances in technology to help deliver treatment in better and more efficient ways.

Education and Experience

A graduate of Old Dominion University in Norfolk, VA, Dr. Reck received his B.S. in Biology in 1985 with a concentration on Dental Anatomy of the Temporomandibular Joint.  He then attended Fairleigh S. Dickinson College of Dental Medicine, in Hackensack, NJ from 1985 to 1989, where he earned his Doctor of Medicinal Dentistry (DMD) Degree with concentration in occlusion, orthodontics and treatment of temporomandibular joint dysfunction.  Throughout his career to date, Dr. Reck has taken many post-graduate continuing education courses in all phases of general dentistry, as well as orthodontics and TMJ therapy.

He is a certified Invisalign and Clear Correct aligner therapy provider, and also has over 20 years experience in treating adult patients with short-term orthodontics.  He has also studied with Dr. Terrance J. Spahl, DDS, who is an internationally recognized clinician, author, and lecturer on the subject of the diagnosis and treatment of temporomandibular joint disorders.  Dr. Reck has also received training in soft-tissue laser therapy, which can treat periodontal disease in a non-surgical, less invasive manner.

Professional Affiliations

American Association of Functional Orthopedics

International Association for Orthodontics

World Clinical Laser Institute

Outside the Office

A lifelong resident of Monmouth County, Dr. Reck grew up in the Navesink/Atlantic Highlands area.  From high school thru dental school, he worked in the marine trades as a certified marine engine technician.  Formerly an avid ocean sailing racer, Dr. Reck competed in numerous open-ocean sailboat races from Newport Rhode Island to Bermuda.  During the last 8 years he has been involved in the development of auto racing, specifically the F-Series Gear Up Challenge, a nationally recognized Series of premier Kart racing.  At this time he serves as the chief technical director of this Kart racing Series.  He now lives in Highlands with his grade school sweetheart Liesje, their 2 dogs, 3 cats and 4 horses.  He enjoys spending time at Middle Creek Stables in Red Bank where Liesje keeps her horses and minis.

We hope you will find Dr. Reck to be a compassionate professional who will provide you with excellent dental care of the highest quality.

Thank you.

Frederick Nirschl  DDS

Proper Flossing Techniques

May 28th, 2015

Of all the dental hygiene techniques you can use at home to promote clean teeth and good oral health, flossing is likely to be the one that troubles most people. It can be viewed as confusing and time-consuming, but when you learn how to floss your teeth correctly, you’ll find it’s easy to do on a daily basis.

Proper flossing techniques are vital to the health of your teeth and gums. These tips will help you with the correct flossing procedures. Likewise, Drs. Nirschl and De Freitas and our team can also help you learn how to floss effectively and efficiently.

Steps to Flossing Your Teeth Properly

  1. Choosing Dental Floss. You can find dental floss in various flavors, as well as waxed or unwaxed. If the floss you use seems to get stuck between your teeth, switch to waxed to make it easier.
  2. Flossing “Helpers.” Beginner flossers who have trouble coordinating the floss and the movements of their hands can use a floss holder to help them get in and around teeth.
  3. Preparing the Floss. Cut an 18-inch piece of floss to use for flossing a few teeth. This allows you to make progress before you must stop and cut another piece of floss.
  4. How to Hold It. Wind the ends around your middle fingers. Hold the floss taut, pinching each side with your thumbs and index fingers. Leave a couple inches free in the middle.
  5. The Process of Flossing. Use your index fingers to guide the floss toward your gum line. Bring it down between the teeth with a zigzag motion. Hold the floss in a C-shape around the tooth, and move it up and down along the side.
  6. Where to Floss. Use a clean portion of the floss to clean around and in between each tooth. Don’t forget about the molars in the back of your mouth, too!

Flossing: A Vital Part of Oral Care

Periodontal disease begins at the gum line; this is where flossing comes in. Regular flossing helps you remove plaque from the gum line and between your teeth to avoid gum disease. In conjunction with daily brushing and twice-a-year visits to Princeton Dental, floss each day to maintain good oral hygiene and overall health. Gum disease can have an impact on your general health, but it doesn't have to. This easy-to-prevent condition can be avoided with regular visits to our Brick, NJ office and daily flossing. Allow our team to partner with you in maintaining a bright, shiny smile and good oral health.

Memorial Day

May 21st, 2015

Memorial Day is not only a federal holiday in the United States, but it is a day of observance and remembrance of those who died in service. Originally known as Decoration Day, this solemn day has been marked on calendars since the end of the American Civil War as a day to commemorate both the Confederate and Union soldiers who fought and died in the war.

Marking the graves of fallen soldiers with flowers, wreaths, or other tokens has been practiced throughout history, but it wasn't until the mark of the end of the Civil War that a special day was decided upon as the one to spend in remembrance. By 1890, every state in the country was observing Decoration Day. It wasn't until 1967 when the name formally changed from Decoration Day to Memorial Day, in order to encompass all fallen American soldiers in all wars and conflicts. In June of 1968, Congress moved the official date of Memorial Day to the last Monday in May in order to create a three day weekend.

Today, while there is certainly an air of remembrance on Memorial Day, it has become more a day of spending time with family, friends, and other loved ones. This day is also heralded as the start of summer, with many schools finishing for the year around this time. Our team at Princeton Dental remembers it as a day to take solace and remembered those lost.

Traditional observances of Memorial Day are still held, and they often involve raising the American Flag then lowering it to a half-staff position until noon, and then raising it once again to its full height afterwards. The flag is lowered to remember those who've lost their lives while in service to their country, and then it is raised to signify our willingness to not let their sacrifice be in vain.

From community parades in the Brick, NJ area, backyard cook-outs, and fireworks to formal ceremonies, Memorial Day is commemorated in many different ways. No matter how you choose to spend this day, take a moment to remember those who've lost their lives in an effort to preserve our freedom.

The Invisalign® Treatment Process

May 14th, 2015

Invisalign is gaining traction as a sought-after solution for orthodontic problems. Unlike traditional braces, which require the placement of brackets on teeth and the connection of unsightly wires, Invisalign works nearly invisibly (as its name suggests). Particularly for those who do not wish to draw attention to their orthodontic work, Invisalign provides an attractive solution.

Consultation with a Treatment Provider

Our practice has received specialized training to work with Invisalign. During your consultation appointment, Drs. Nirschl and De Freitas will assess your smile needs. In some cases, the type of problem may not lend itself to correction through Invisalign, and we may offer an alternative solution.

Creation of a Custom Treatment Plan

Invisalign works using a series of customized clear trays that fit almost perfectly over the teeth. To create these trays, Drs. Nirschl and De Freitas will take X-rays and impressions of your teeth. These are submitted to a specialized laboratory that makes a 3D image of your smile. This is used to create a specialized treatment plan that provides an estimate of how long treatment will take.

Arrival of Custom Trays

Once your customized trays have arrived, the treatment begins. For Invisalign to work properly, you must wear the aligners 20 to 22 hours per day, removing them only to eat, drink, and brush your teeth. The trays gently draw your teeth into proper alignment, correcting your orthodontic problems as you go about your everyday life.

In general, you will replace your aligners with a new set every two weeks. This is to encourage your teeth to continue moving throughout the treatment process. You’ll need to check in with our Brick, NJ office every six weeks or so to ensure treatment progresses smoothly.

Beautiful Smile: Complete!

Once you complete your individualized treatment plan, you’ll have the smile you’ve always dreamed of. Like with traditional braces, Drs. Nirschl and De Freitas may recommend that you wear a retainer to ensure that your teeth remain in their new positions.

Summer is Almost Here: Tips for a bright, white smile!

May 7th, 2015

Summer is almost here, which means a season full of vacations, adventures and great memories is just around the corner for our patients at Princeton Dental.

Everyone wants a glowing and radiant white smile when the sun comes around and we have a few reminders to keep your pearly whites healthy and beautiful over the summer! Try to stay away from drinks that will stain your teeth like coffee, soft drinks, or dark colored juices. Not only will drinks like this weaken your enamel but they will also darken that fabulous smile you're working on! Another tip is to try and focus on brushing your teeth; everyone knows that when busy schedules start picking up, getting a good brushing session in tends to take the backseat! A good tip for keeping your mouth safe from staining and other possible pitfalls is to rinse your mouth with water after any meal you can’t fully brush your teeth after. Your teeth, inside and out, will benefit!

And remember, whether you are headed to a barbecue, a camping trip, or just having fun in the backyard this summer, we want to hear all about it! Make sure to let us know what you’re up to below or on our Facebook page! We also encourage you to post any photos from your adventures!

The Importance of Oral Cancer Screenings

April 30th, 2015

In our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Princeton Dental, we proudly screen our patients for oral cancer. The fact is, every hour of every day in North America, someone dies of oral cancer, which is the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms. While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes we want you to know about. In some cases, it is possible to minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption
  • Persistent viral infections, such as HPV16
  • A diet lacking or low in fruits and vegetables

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Drs. Nirschl and De Freitas and our team at Princeton Dental can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less expensive and more successful, and can potentially save your life. Ask Drs. Nirschl and De Freitas and our team at Princeton Dental about a screening at your next appointment!

April 2015 Patient of the Month

April 27th, 2015

2015-04-27Congratulations to Nancy, our Patient of the Month!

Our Patient of the Month is a person who is a longtime patient, arrives on time, and is always super friendly. Nancy took home a beautiful vase of flowers from Purple Iris Flower Shop as a token of our appreciation.

Keep smiling, Nancy!

The History and Mythology of the Tooth Fairy

April 23rd, 2015

While the last baby teeth generally aren’t lost until age ten or 11, most children stop believing in the tooth fairy by the time they're seven or eight. Of course, children are more than happy to play along with the game when there’s money at stake! While it is impossible to know what the tooth fairy does with all those teeth (are they labeled and stored like museum pieces in a giant fairytale castle?), it is possible to trace the history and myth of the tooth fairy to several cultures and traditions. Drs. Nirschl and De Freitas and our team learned about some interesting myths about the tooth fairy!

The Middle Ages

Legend has it that Europeans in the Middle Ages believed a witch could curse someone by using their teeth, so it was important to dispose of baby teeth correctly. Teeth were swallowed, buried, or burned. Sometimes baby teeth were even left for rodents to eat. Despite being pests, rodents were valued for their strong teeth; it was generally believed a tooth fed to a rodent would lead to the development of a healthy and strong adult tooth.

Eighteenth Century France

The tooth fairy myth began to show more characteristics of a conventional fairytale in 18th century France. La Bonne Petite Souris, a bedtime story, tells the strange tale of a fairy that changes into a mouse to help a good queen defeat an evil king. The mouse secretly hides under the evil king’s pillow and defeats him by knocking out his teeth.

Scandinavian Lore

So, why does the tooth fairy leave money under the pillow? The idea of exchanging a tooth for coins originated in Scandinavia. Vikings paid children for a lost tooth. Teeth were worn on necklaces as good luck charms in battle. While the idea of exchanging a tooth for coins quickly spread throughout the rest of Europe, a fierce, horn-helmeted Viking is far cry from the image of a fairy collecting teeth.

While the tooth fairy as children know her today didn’t make an appearance until the 1900s, tooth myths and rites of passage have existed in numerous cultures since the dawn of time.

Earth Day

April 16th, 2015

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

  • Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
  • Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
  • Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
  • Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
  • Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Princeton Dental wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Princeton Dental.

Four Oral Health Issues Seniors Face

April 9th, 2015

Oral health is an important and often overlooked component of an older person’s general health and well-being. Drs. Nirschl and De Freitas and our team know that for many of our older patients, oral health can become an issue when arthritis or other neurological problems render them unable to brush or floss their teeth as effectively as they once did. Today, we thought we would discuss four common oral health issues our older patients face and how they can avoid them:

Cavities: It’s not just children who get tooth decay—oral decay is a common disease in people 65 and older. Ninety-two percent of seniors 65 and older have had dental caries in their permanent teeth, according to the National Institute of Dental and Craniofacial Research. The risk for tooth decay increases because many older adults don’t go to the dentist as often as they used to, thus cavities go undetected and untreated for longer than they should. Keeping regular appointments with Drs. Nirschl and De Freitas is the key to getting cavities treated in a timely manner.

Difficulty eating: Oral health problems, whether from missing teeth, cavities, dentures that don’t fit, gum disease, or infection, can cause difficulty eating and can force people to adjust the quality, consistency, and balance of their diet.

Dry mouth: Also called xerostomia, dry mouth is a common issue for a lot of seniors. Our friends at the Oral Cancer Foundation estimate that 20 percent of elderly people suffer from dry mouth, which means the reduced flow of saliva (saliva plays a crucial role in preventing tooth decay). Many seniors are on multiple medications for a variety of chronic illnesses or conditions. Common medications taken that may cause dry mouth are decongestants, antihistamines, blood pressure medications, pain pills, incontinence medications, antidepressants, diuretics, muscle relaxers, and Parkinson’s disease medications. To help counter this, we suggest drinking lots of fluids and limiting your intake of caffeine and alcohol. We also encourage you to check with Drs. Nirschl and De Freitas during your next visit if you think your medications are causing your mouth to feel dry.

Gum Disease: Gum (periodontal) disease is an infection of the gums and surrounding tissues that hold teeth in place. While gum disease affects people of all ages, it typically becomes worse as people age. In its early stages, gum disease is painless, and most people have no idea that they have it. In more advanced cases, however, gum disease can cause sore gums and pain when chewing.

Gum disease, which can range from simple gum inflammation to serious disease, is usually caused by poor brushing and flossing habits that allow dental plaque to build up on the teeth. Plaque that is not removed can harden and form tartar that brushing simply does not clean. Only a professional cleaning at our office can remove tartar. The two forms of gum disease are gingivitis and periodontitis. In gingivitis, the gums become red, swollen, and can bleed easily; in periodontitis, gums pull away from the teeth and form spaces that become infected.

Proper brushing, flossing, and visiting our office regularly can prevent gum disease. Seniors with limited dexterity who have trouble gripping a toothbrush should ask Drs. Nirschl and De Freitas about modifying a handle for easier use or switching to a battery-powered toothbrush.

April is National Facial Protection Month

April 2nd, 2015

The Importance of Facial Protection

Americans from all walks of life should mark April as National Facial Protection Month on their calendars. The American Association of Pediatric Dentistry, Academy for Sports Dentistry, American Academy of Pediatric Dentistry, and American Association of Oral and Maxillofacial Surgeons have combined forces to sponsor this annual campaign, which aims to educate and remind us of the importance of protecting our face and teeth against impacts and injuries.

Wearing a helmet can save your life and prevent devastating physical damage in a variety of situations, from playing football to riding a bicycle. According to the American Association of Oral and Maxillofacial Surgeons, helmets reduce the risk of various head injuries by as much as 85 percent. Whether helmet laws apply in your area or not, Drs. Nirschl and De Freitas and our team at Princeton Dental want you to make sure you and your loved ones wear helmets with the appropriate safety ratings for specific activities. (A sticker on or inside the helmet will usually indicate this rating.) Helmets can also help save your teeth if they come with an attached faceguard, an essential addition for football players and others involved in contact sports.

Preventing Dental Injuries

A mouthguard can protect you against a variety of dental injuries, such as cracked, broken, or knocked-out teeth. The American Dental Association states that mouthguards play an essential role in preventing up to 200,000 dental injuries each year, and many states mandate their use for sports activities such as football and hockey. The Academy for Sports Dentistry warns, however, that these mouthguards must be custom-fitted as precisely as possible to prove effective. Have a professional-quality mouthguard molded and fitted by our team at Princeton Dental for better protection than a generic store-bought or “boil-and-bite” variety can offer. These cheaper versions tend to wear out quickly, interfere with proper breathing, and provide uneven degrees of cushion against impacts. Always have a fresh mouthguard fitted for each new sports season.

Choose the right combination of helmet, faceguard, and mouthguard to protect your teeth and face this April, and tell your friends to do the same! To learn more about mouthguards, or to schedule an appointment with Drs. Nirschl and De Freitas, please give us a call at our convenient Brick, NJ office!

Who benefits from Invisalign®?

March 26th, 2015

One problem with trying to answer the question as to who benefits from Invisalign is that the simple answer is “almost everyone.” The see-through, almost invisible aligners for straightening teeth are specifically molded to fit each individual’s mouth. Unlike conventional braces, they can be removed when eating and when cleaning the teeth. Because they use less force in straightening teeth than metal braces, the risk of harm to teeth is lessened.

Benefits to adults

Traditional braces are associated with children and teenagers. Many adults want to have their teeth straightened but cannot decide which is worse: having crooked teeth or wearing metal braces. They also worry about having to change their diet by not being able to eat the foods they normally enjoy.

If you are an adult considering braces, our team at Princeton Dental will tell you Invisalign aligners will give you the best of all worlds. Your teeth will be straightened with virtually invisible braces. You can remove your aligners when you eat so you can enjoy any food you normally would consume. You do not have to worry about embarrassing yourself by getting food stuck in your braces. You simply clean your teeth normally after eating and replace your aligners. If there is a special occasion during which you do not want to have any braces at all, you can remove the aligners for a few hours without causing any damage.

Benefits to teenagers

Drs. Nirschl and De Freitas and our team know that teenagers are often involved in contact sports or gymnastics. Others find that having metal in their mouth interferes with their ability to play a musical instrument. Traditional metal braces contain wires and brackets that can cause damage to the mouth and gums; this is not a risk with Invisalign aligners.

For sports that require players to wear mouthguards, the expense of specially constructed mouthguards to fit over braces is avoided. The aligners can be removed during sports activity, and a normal mouthguard is worn. Teenagers who play musical instruments simply remove the aligners when practicing or playing in the band or orchestra.

Teenagers often feel they are too busy to spend time and trouble flossing teeth between the wires and brackets of traditional braces. Since the Invisalign aligners are removable, brushing and flossing are simpler and more likely to be performed.

For more information about Invisalign or Invisalign Teen, or to schedule an initial consultation with Drs. Nirschl and De Freitas, please give us a call at our convenient Brick, NJ office!

Implants: Why it's important to replace missing teeth

March 19th, 2015

The average adult has 32 teeth, a combination of molars, canines, and incisors. By middle age, however, most adults are missing at least one tooth due to an injury, decay, or gum disease. Though many people choose to forgo tooth replacement, Drs. Nirschl and De Freitas and our team at Princeton Dental will tell you that every tooth is important. Each plays a vital role in the structure of the mouth and in relationship to the remaining teeth. Leaving the space where a tooth once stood can have serious consequences. There are many reasons why severely decayed or missing teeth should be replaced as quickly as possible.

  • Speech: A missing tooth can negatively affect the way you speak, depending on its location.
  • Bite changes: The loss of one or more teeth can cause the redistribution of bite pressure onto other teeth. Over time, this can cause the teeth to shift and move into the space the tooth once held.
  • Gum disease: Shifting teeth can make it easier for plaque to accumulate in hard-to-reach places. This can increase the risk of gum disease, which can lead to additional tooth loss.
  • Bone loss: The teeth are place-holders in the jaw. When one falls out and is not replaced, the bone that once surrounded it begins to deteriorate and wear down.
  • Aesthetics: A missing tooth leaves a visible gap between the teeth and can be a source of embarrassment and insecurity.

Advancements in modern dentistry have made it easy to replace missing teeth using natural-looking and functioning prosthetics. Dental implants are permanent solutions for replacing missing teeth with the use of special rods that are anchored in the jaw bone. These implants serve as artificial tooth roots that fuse with the jaw over time. When cared for properly, most dental implants can be fitted to last a lifetime.

To learn more about dental implants, or to schedule an appointment with Drs. Nirschl and De Freitas, please give us a call at our convenient Brick, NJ office!

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 12th, 2015

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at Princeton Dental is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Drs. Nirschl and De Freitas !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

Good Nutrition Leads to Healthy Mouths

March 5th, 2015

At Princeton Dental, we know the most common oral health diseases are tooth decay and periodontal disease (or gum disease), and both are among the easiest to prevent. One of the most common ways we recommend to boost your oral health is by improving your diet, because you (and your mouth) truly are what you eat. A healthy diet can lead to a healthy mouth and body, while an unhealthy diet can lead to the exact opposite.

The Role Nutrition Plays

While diet is not the only factor that leads to periodontal disease, studies suggest the disease may be more severe among patients whose diets lack essential nutrients. Poor diets will generally lead to a weaker immune system, leaving your body susceptible to all kinds of ailments, including periodontal disease.

A Well-Balanced Approach

There is no “magic” diet that we can recommend to improve your oral health, but the most important thing is to seek a well-balanced approach in your eating. While fad diets that emphasize one food group over another may help you lose weight in the short-term, they probably will not provide all the nutrients your body needs in the long run.

Meals should include a balance of lean meats or other healthy protein sources, colorful fruits and vegetables, whole grains, low-fat dairy, and healthy fats. Foods containing substantial amounts of sugar and salt should be consumed in moderation.

Soda and Sugar: A Dangerous Duo

Millions of gallons of soda are consumed every day in America, but sipping a cold soft drink can be very harmful to your teeth. Many of these beverages wear down the enamel that protects the teeth, which weakens and even destroys them over time. The American Beverage Association estimates that soft drinks account for almost 30 percent of all drink consumption in the U.S., averaging an annual total of about 50 gallons per person (up from only 20 gallons in the 1970s). For healthy teeth and a healthy body overall, try to limit your soda intake.

Sugar is another ubiquitous treat in our daily lives. When we eat sugar, naturally occurring bacteria in our mouths convert it to acids that attack tooth enamel. Consuming too much sugar can swiftly lead to tooth decay, cavities, and gum diseases like gingivitis. Most people do not even realize how much sugar they consume each day. It’s important to limit your daily sugar intake by reading the labels of all the food you eat, and sticking with natural food sources that are low in sugar, especially ones that minimize added sugar, such as fruits and vegetables.

If you have questions about your diet and how it may be affecting your oral health, talk to Drs. Nirschl and De Freitas about it. See you soon!

Diet and Dental Health: What to eat and what to avoid

February 26th, 2015

You are probably aware that guzzling soda and drinking those sugary Starbucks Frappuccinos aren’t particularly good for your dental health. But how much thought do you give to the effects of your diet on your teeth? Practicing healthy eating habits isn’t just helpful for your waistline, it also ensures that your teeth stay strong and cavity-free.

How diet affects dental health

Our team at Princeton Dental will tell you that your mouth is a complicated place on a microbiological level. Harmful bacteria form dental plaques which convert the sugars in food to acids that wear away at tooth enamel. Meanwhile, saliva washes away some of the detrimental acids, while minerals work to rebuild where teeth are damaged. The foods you eat are important for managing this balancing act between harmful bacteria and helpful rebuilding agents.

Rethinking your diet to prevent cavities

Carefully considering your dietary choices is a smart way to become mindful of the foods you eat and how they affect oral health.

Foods to eat

  • Calcium- and phosphorus-rich foods. We’ve all heard that milk builds strong bones, and your teeth are included in that. Milk, cheese, nuts, and chicken are strong sources of calcium and phosphorus. These minerals are used to repair damage to the teeth’s enamel.
  • Crunchy fruits and vegetables. Biting into an apple stimulates saliva flow, which washes harmful acids from the surface of your teeth. Turn to other crunchy fruits and vegetables, including carrots, celery, pears, and lettuce, to increase saliva production.
  • Sugar substitutes. If you have a sweet tooth but want to decrease tooth decay, sugar substitutes such as Stevia or Equal provide a sugary kick without harming your teeth.

Foods to avoid

  • Sugary snacks. Cookies, cakes, candies, and other sugary treats provide a feast for the acid-producing bacteria in your mouth. Furthermore, these foods often get stuck in the ridges of your teeth, and provide a breeding ground for new bacteria.
  • Acidic fruits and vegetables. Foods high in acidity, such as tomatoes, citrus fruits, berries, peaches, and lemons, wear away the enamel of your teeth. Because these foods can be part of a healthy diet, remember to brush after eating them or swish with a mouth rinse to protect your teeth.

Eating well is an essential part of keeping your teeth healthy. Consult Drs. Nirschl and De Freitas about your diet for tips on food habits that keep your teeth strong and cavity-free. For more information about the link between your diet and your oral health, or to schedule an appointment with Drs. Nirschl and De Freitas, please give us a call at our convenient Brick, NJ office!

What is a water pick and do I need one?

February 19th, 2015

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Drs. Nirschl and De Freitas and our team at Princeton Dental want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our Brick, NJ office if you have any questions about water picks, or ask Drs. Nirschl and De Freitas during your next visit!

The Transformation of Valentine's Day

February 12th, 2015

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

  • Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
  • Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
  • “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the dental office of Drs. Nirschl and De Freitas.

February is Heart Month

February 5th, 2015

The American Academy of Periodontology stresses the importance of good oral health since gum disease may be linked to heart disease and stroke. Thus far, no cause-and-effect relationship has been established, but there are multiple theories to explain the link between heart disease and periodontal disease. One theory suggests that oral bacteria may affect heart health when it enters the blood and attaches to the fatty plaque in the heart's blood vessels. This can cause the formation of blood clots. Another theory suggests the possibility that inflammation could be a contributing link between periodontal disease and heart disease. Gum disease increases plaque buildup, and inflamed gums may also contribute to the development of swollen or inflamed coronary arteries.

What is coronary artery disease?

Coronary artery disease is caused in part by the buildup of fatty proteins on the walls of the coronary arteries. Blood clots cut off blood flow, preventing oxygen and nutrients from getting to the heart. Both blood clots and the buildup of fatty proteins (also called plaque) on the walls of the coronary arteries may lead to a heart attack. Moreover, periodontal disease nearly doubles the likelihood that someone will suffer from coronary artery disease. Periodontal disease can also worsen existing heart conditions, so many patients who suffer from heart disease need to take antibiotics before any dental procedures. This is especially true of patients who are at greatest risk for contracting infective endocarditis (inflammation of the inner layer of the heart). The fact that more than 2,400 people die from heart disease each day makes it a major public health issue. It is also the leading killer of both men and women in the United States today.

What is periodontal disease?

Periodontal disease is a chronic inflammatory disease that destroys the bone and gum tissues around the teeth, reducing or potentially eradicating the system that supports your teeth. It affects roughly 75 percent of Americans, and is the leading cause of adult tooth loss. People who suffer from periodontal disease may notice that their gums swell and/or bleed when they brush their teeth.

Although there is no definitive proof to support the theory that oral bacteria affects the heart, it is widely acknowledged better oral health contributes to overall better health. When people take good care of their teeth, get thorough exams, and a professional cleaning twice a year, the buildup of plaque on the teeth is lessened. A healthy, well-balanced diet will also contribute to better oral and heart health. There is a lot of truth to the saying "you are what you eat." If you have any questions about you periodontal disease and your overall health, give our Brick, NJ office a call!

The Safety of Dental X-Rays

January 29th, 2015

An article was released to the public stating that dental X-rays contribute to a type of brain cancer. After reading an article like this, your first thought may be to avoid dental X-rays, but you may want to hold off on that quick judgment. As with any treatment we offer at Princeton Dental, education is your most valuable tool in deciding what is best for you.

How often dental X-rays are taken is based on risk for infection, physical symptoms, and clinical findings. The American Dental Association (ADA) is a governing body over the dental profession. The ADA states, “ . . . healthy adults receive routine mouth X-rays every two to three years. Dental X-rays are recommended every one to two years for children and every 1.5 to three years for teens. Children often require more X-rays than adults because of their developing teeth and jaws and increased likelihood for cavities.”

A "caries risk category" often determines how often dental X-rays are taken. The most recent documented resource to determine a caries risk is Caries Management by Risk Assessment (CAMBRA). This was adopted by the ADA and is used by dental professionals giving interval recommendations for X-rays.

With knowledge of your risk for dental infection, you will be informed by Drs. Nirschl and De Freitas of the interval at which dental X-rays should be taken. You can rest assured that the standards published by the ADA have been researched extensively and are there to protect your personal health and safety.

Dental X-rays are most commonly digital, which significantly reduces exposure. There is more radiation exposure from the sun or in an airplane than in a dental X-ray. It is common practice to use a lead apron with a thyroid collar for protection during X-ray exposure.

Having a cavity means having an active, potentially harmful infection. Diagnosing such infection with minimal exposure through digital dental X-rays at our Brick, NJ office does more good than harm.

I drink a lot of coffee. Could it be hurting my smile?

January 22nd, 2015

At Princeton Dental, we know most of our patients enjoy a cup of coffee or two throughout the day. But what many of you don’t know is that coffee can be especially tough on your teeth because tannic acid (the substance that makes the dark color) etches into the pits and grooves of tooth enamel, staining your pearly whites and being generally detrimental to your smile.

Coffee is one of the most popular beverages in the world, with more than 50 percent of people drinking a cup daily. Other foods and drinks such as wine, chocolate-flavored beverages, and soft drinks can all cause tooth enamel discolorations. A hot cup of Joe, however, goes one step farther: extreme temperature changes in your mouth can cause teeth to expand and contract. This allows stains to penetrate deep into the micro-cracks of your tooth enamel.

Additionally, caffeine is considered a diuretic, which means it causes the body to lose fluids. So when you enjoy coffee or any kind of caffeinated beverage, it slows the production of saliva and causes dry mouth, which can potentially lead to bad breath and even tooth decay.

If you just can't make it through the day without a cup of java, we encourage you to consider these tips to help make sure your teeth stay in tip-top shape:

    • Drink a glass of water with your coffee or rinse with a glass of water after every cup. Not only does it help neutralize and rinse away the acid left behind from the coffee, but it also helps replenish fluids drawn out of your body by caffeine.
    • Chew gum after you drink coffee. Chewing gum will help keep your saliva production up and prevent dry mouth.
    • Enjoy your beverage with a straw so that tannins don’t make contact with your front upper and lower teeth.
    • Switch to decaf. Each cup of regular coffee you drink has an average of 110 milligrams of caffeine. Decaf has the same great taste with only two to 12 milligrams of caffeine.

Drs. Nirschl and De Freitas and our team also invite you to visit our convenient Brick, NJ office for whitening options. We can help bleach your teeth with proven and professional products. To learn more about whitening options available at Princeton Dental, please give us a call!

Are you at risk for tooth erosion?

January 15th, 2015

Many people consume carbonated or sugary drinks and acidic foods every day but have no idea those beverages may be harming their teeth, making them vulnerable to tooth erosion. The acid in the foods we eat and drink can cause tooth enamel to wear away, making your teeth sensitive and discolored. Drs. Nirschl and De Freitas will tell you that in many cases, what’s important is not what you eat and drink, but rather how you consume it.

What is tooth erosion?

Tooth erosion is the loss of tooth structure caused by the weakening of dental enamel, which is the strongest substance in the human body. Enamel is the thin, outer layer of hard tissue that helps maintain the tooth’s structure and shape. When the enamel is weakened, it exposes the underlying dentin, causing your teeth to appear yellow.

What causes tooth erosion?

Tooth erosion may occur when the acids in the foods and beverages you eat and drink, as well as other factors we will discuss later, weaken the enamel on your teeth. Typically the calcium contained in saliva will help remineralize (strengthen) your teeth after you consume foods or drinks that contain some acid. However, the presence of a lot of acid in your mouth does not allow for remineralization to happen.

Acid can come from many sources, including the following:

  • Drinking carbonated or fruit drinks. All soft drinks (even diet varieties) contain a lot of acid and are capable of dissolving enamel on your teeth. Bacteria thrive on sugar and produce high acid levels that can eat away at enamel.
  • Eating sour foods or candies. All those sour candies may taste great, but these treats can be acidic to your teeth. Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.
  • Low saliva volume. Saliva helps prevent decay by neutralizing acids and washing away leftover food in your mouth.
  • Acid reflux disease. Acid reflux, or GERD, brings stomach acids up to the mouth, where the acids can erode enamel.
  • Bulimia or binge drinking. These conditions can cause tooth damage because they frequently expose teeth to stomach acids.
  • Wear and tear. Brushing your teeth too vigorously or grinding your teeth at night can erode enamel.

What are the symptoms of tooth erosion?

Acid wear may lead to serious dental problems. When your tooth enamel erodes, your teeth become more vulnerable to cavities and decay, and you may begin noticing the following symptoms:

  • Severe sensitivity or tooth pain when consuming hot, cold, or sugary foods or drinks
  • Tooth discoloration
  • Rounded teeth
  • Transparent teeth
  • Visible cracks in teeth
  • Cupping, or dents, that show up on the biting or chewing surfaces of the teeth

What you can do to prevent tooth erosion

  • Reduce or eliminate altogether your consumption of carbonated drinks. Instead, sip water, milk, or tea.
  • If you must consume acidic drinks, drink them quickly and be sure to use a straw so that the liquid is pushed to the back of the mouth. Don’t swish them around or hold them in your mouth for a long period of time.
  • Instead of snacking on acidic foods throughout the day, we suggest eating these foods just during meal times in order to minimize the amount of time the acid makes contact with your teeth.
  • After consuming highly acidic food or drinks, rinse with water to neutralize the acids.
  • Chew sugar-free gum to produce more saliva, as this helps your teeth remineralize.
  • Brush with a soft toothbrush and be sure your toothpaste contains fluoride.
  • Drs. Nirschl and De Freitas may also recommend daily use of a toothpaste to reduce sensitivity (over-the-counter or prescription strength) or other products to counter the effects of erosion.

It’s important to know that the majority of dental problems, such as tooth erosion, do not become visible or painful until they are advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Princeton Dental is the best way to hit all the spots you may have missed with brushing and flossing and prevent any issues that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you are overdue for your next checkup or cleaning, please give us a call to schedule an appointment at our conv

Dreaming of a stunning smile without using braces?

January 8th, 2015

Most of us aren’t born with a red carpet smile. And if you’ve thought about straightening your teeth but are apprehensive about doing so with traditional orthodontic treatment, Drs. Nirschl and De Freitas and our team at Princeton Dental want you to know there is another option – Invisalign®!

Invisalign is an ideal solution for most adults looking for a less noticeable way to achieve a better smile. In fact, Invisalign has increasingly become a very popular choice for adults looking for a more comfortable, convenient and cosmetically-appealing treatment for straightening their teeth.

Our team at Princeton Dental is proud to offer Invisalign, which uses a series of invisible, removable and comfortable aligners that no one can tell you’re wearing, which allows you to smile more during treatment, as well as after. Not only are the aligners invisible, they are also removable, so you can eat and drink what you want; brushing and flossing is easier with Invisalign than with traditional braces.

Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And no metal and wires usually means you spend less time at our office getting adjustments. Invisalign also allows you to view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

A consultation with Drs. Nirschl and De Freitas can determine if Invisalign is right for you. We encourage you to give us a call at our friendly Brick, NJ office if you’re interested in learning more about Invisalign or if you are ready to visit us for an initial consultation! We look forward to seeing you!

New Year's Eve

January 1st, 2015

Watching the clock tick down the final seconds until midnight, many of us- Princeton Dental included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

  • Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
  • The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
  • The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
  • Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Brick, NJ, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

What are the benefits of Invisalign®?

December 25th, 2014

A popular option for straightening teeth at Princeton Dental, Invisalign can be a great method for improving your smile, and can help patients with crowded teeth, crossbites, overbites, underbites, and more.

Invisalign, which is different from traditional braces, works by applying a series of clear, retainer-like aligners in order to eventually move your teeth into their ideal positions. Patients typically swap aligners approximately every couple of weeks.

At Princeton Dental, we have lots of experience using this technology to give our patients the beautiful and healthy smile they’ve always wanted. During your initial visit at our Brick, NJ office, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Not only are the aligners invisible, they are also removable, so you can eat and drink what you want, and brushing and flossing are easier. Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And, no metal and wires usually means you spend less time at our office getting adjustments. With Invisalign, you can view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

Depending on the severity of the problem, Invisalign treatment may take anywhere from three to 18 months to complete. You should be aware that Invisalign is not as effective as traditional braces in treating bite problems, teeth that are lower or higher than others, or severely overcrowded teeth. Both teens and adults are now great candidates for Invisalign, so we invite you to contact our Brick, NJ office to set up an initial consultation and learn more on how Invisalign can give you the smile you’ve always wanted!

Is there a correlation between my dental and cardiovascular health?

December 18th, 2014

YES!  Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Cardiovascular disease remains American’s leading killer, claiming more lives than the rest of major causes of death, according to our friends at the American Heart Association. In fact, an estimated 80 percent of American adults currently have some form of gum disease, also known as periodontal disease.

Studies suggest that people with gum disease are believed to have an elevated risk of heart attack and stroke. Since most patients are not regularly visiting a heart specialist, their regular visits to our Brick, NJ office can help detect early warning signs of heart issues, prevent gum disease, or at the very least catch it at its early stage. We’d also like you to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25).

There are many benefits to visiting Princeton Dental in addition to maintaining your dental health. If it has been a while since your last visit, please give us a call!

What are dental implants?

December 11th, 2014

Do you have a space where a tooth used to be? Were you born with a missing tooth? Are you getting ready for dentures? You may be a good candidate for a dental implant. Metal dental implants were invented in 1965. Technology continues to advance with millions of implants placed in the United States and Canada. Placing implants has become mainstream and a common practice for offices like ours.

A dental implant is a small titanium post, which resembles a screw with threads. The post also has holes for bone to integrate. A dental implant is placed into the jawbone during a short dental procedure. It is relatively painless with very little post-operative pain. The threads on the implant post allow for the bone to fill in and integrate. To facilitate this process the implant is re-covered with gum tissue and allowed to heal and integrate for nearly three months. The implant acts as the root for the tooth to provide solid and stable support for the crown that’s yet to be placed.

The next step in the dental procedure is to uncover the implant and place a healing cap to allow the gum tissue to heal. After a short period of healing, an impression is taken to fabricate a crown to fully restore the missing tooth. The crown is then cemented on top of the post, at which point you can resume normal eating activities.

Dental implants do require some special care, but that is easily managed when you follow the directions outlined by Drs. Nirschl and De Freitas. During your regularly scheduled cleaning, special instruments are used to clean implants. While a dental implant cannot get a cavity, a condition known as peri-implantitis can occur. This is very similar to periodontal disease as the end result is dental implant loss and loss of bone structure. Be sure to floss the dental implant daily and run the floss under the implant crown as far as it can go to remove food and plaque. If you use any picks or small brushes to go in between your teeth, make sure they are plastic. Metal will scratch the implant making it more susceptible to infection. Be sure to keep your regular dental visits and cleanings to monitor the implant and help preserve your investment.

My gums are shrinking!

December 4th, 2014

Have you ever looked in the mirror and noticed that your teeth looked longer? Does it seem like your gums are shrinking? This condition is called recession—many adults have it. Let’s look at some of the causes and what you can do about it.

During your exam at Princeton Dental, we will take measurements to check for periodontal disease. Dental professionals take recession measurements to see how much attached gingiva is present. This is the kind of tissue that is most resilient to infection.

The more recession, the less attached gingiva. The less attached gingiva, the less bone support. The less bone support, the higher your chances of tooth loss. It is quite a domino effect.

Don’t lose hope. The effect can be halted once you know the cause of your recession.

Do you ever wake up with your jaw clenched, and/or a headache that originates just above your ears? Clenching or grinding your teeth can cause recession. When there is added stress on a tooth, it flexes at the gum line.

Over time this causes microscopic breaks in the enamel and then a notch appears. The gum line is forced to move away from its original position. If this is something you see in your mouth, we can discuss the possibility of an occlusal guard at your next visit.

How do you brush your teeth? Do you brush in a straight line or circles? What kind of bristles do you use? Are the bristles on your toothbrush frayed?

When you brush in a circle, you are sweeping all along the gum line, removing the plaque from most angles. When you brush in a straight line, you may often miss the concave portion of the gums. This leaves plaque behind and leads to gingivitis. Whenever gingivitis occurs, the body attacks supporting structures like bone while trying to get rid of the infection. This is periodontal disease, which can cause recession.

Recession may also result from an irritant on the gums, such as a bar from a partial denture or orthodontic appliance (braces).

Gums do not “grow back.” The most common treatment for advanced recession is a tissue graft. There are many different kinds of tissue grafts.

Other factors can cause recession. If you think recession is happening in your mouth, schedule an appointment with Drs. Nirschl and De Freitas to discuss your options, so you can make the appropriate treatment choice.

Thanksgiving

November 27th, 2014

At Princeton Dental, we love to celebrate the holidays with vigor! Drs. Nirschl and De Freitas would love to share some unique ways of celebrating Thanksgiving from beyond the Brick, NJ area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

The Clear Benefits of Invisalign®

November 20th, 2014

Straighter teeth is something many people desire. A nice smile is one of the most attractive things about a person. However, wearing a mouth full of braces for two, three, or more years can be a major pain, both literally and figuratively.

Luckily, there is another option. Invisalign is an alternative to traditional braces. Learn more about the benefits Invisalign offers and why you should consider this exciting method of straightening teeth.

  • When you have straight teeth, your mouth is healthier in general and there is less chance of tooth decay and gum disease. Invisalign makes it possible for more people to straighten their teeth.
  • Invisalign is essentially invisible. You can straighten your teeth without unsightly metal in your mouth.
  • The average cost is similar to that of traditional braces, which makes it affordable for many families.
  • With Invisalign, the aligner trays are smooth and comfortable to wear. Traditional metal braces can be uncomfortable and cause irritation to the mouth.
  • Invisalign is removable, so you do not have to wear the system during special occasions, or when you’re eating. With normal metal braces, you are stuck with them for the entire straightening process.
  • Brushing and flossing are simple. Since the system is removable, you can brush and floss just like normal.

As you can see, Invisalign is an exciting option we provide at Princeton Dental for those who want straighter teeth. If this is something that sounds interesting to you, talk to Drs. Nirschl and De Freitas and find out if it would work for your particular situation. Get started today, and before you know it you will be enjoying your straighter teeth.

For more information about Invisalign, or to schedule an initial consultation with Drs. Nirschl and De Freitas, please give us a call at our convenient Brick, NJ office today!

Canker sores, cold sores, and mouth sores: What's the difference?

November 13th, 2014

At Princeton Dental, we know many people have experienced some form of mouth sores or irritation. Some mouth sores are harmless and go away on their own after a few days, while others are more serious and should not be ignored. Mouth sores occur for many different reasons, but bacterial infections, viruses, or funguses often trigger them. The best way to tell the difference between a canker sore and a cold sore is that canker sores occur inside the mouth while cold sores occur on the outside the mouth.

The most common mouth sores are:

Canker sores: A non-contagious, small, grayish ulcer with a red border, canker sores appear inside the mouth. While outside factors such as stress, fatigue, or allergies may increase the chances of developing a canker sore, most health experts believe they stem from bacteria or a virus that attacks the immune system. Canker sores typically heal within a week or two.

Cold sores: Also called fever blisters, cold sores are contagious groups of fluid-filled blisters that often erupt around the lips and sometimes under the nose or around the chin. Cold sores are the result of the herpes simplex virus, and once infected, the virus remains in the person’s blood stream.

Leukoplakia: A potential warning sign of oral cancer, leukoplakia is a premalignant lesion that appears as a white patch on the inside of the mouth, tongue, or gums. The lesions, which are caused by excessive cell growth, usually afflict those who smoke tobacco. Drs. Nirschl and De Freitas may choose to have the lesion biopsied if the outbreak appears severe.

Oral candidiasis: Also called oral thrush or moniliasis, this condition is caused by the overgrowth of a type of yeast called candida. Common symptoms of oral candidiasis include white spots inside the mouth and on the tongue, redness or discomfort in the mouth area, sore throat,difficulty swallowing, and cracking at the corners of the mouth. It is important to visit Drs. Nirschl and De Freitas if you have oral candidiasis. If left untreated, it may infect your bloodstream, which can be very dangerous. Healthy adults do not usually get thrush, and the condition is most often seen in infants, the elderly, patients undergoing chemotherapy, or people with AIDS or other diseases that are known to weaken the immune system.

Should you have a mouth sore that lasts a week or longer, we encourage you to give us a call and schedule an examination at our Brick, NJ office.

Invisalign Day at Princeton Dental coming soon!

November 6th, 2014

Mark your calendars! For Wednesday, November 19th only, Dr. Nirschl is offering 1-Day Invisalign Special!

This time of year brings out the best in us, and now you can bring out the best in yourself or a loved one with the gift of a straight, beautiful smile with Invisalign. Have the smile of your dreams. Call our office to reserve your appointment! Wondering about the benefits of Invisalign?

  • Invisalign aligners are clear, discrete and effective at moving your teeth into their ideal positions.
  • You don’t need to change your eating habits, because your aligners can be easily removed.
  • Invisalign aligners are made of comfortable, smooth plastic, so you don’t have to worry about taking care of metal brackets.
  • Invisalign aligners make daily oral hygiene easier, reducing the risk of possible problems.
  • Invisalign treatment is covered by most insurance providers, just like traditional braces.

We can’t wait to see you soon!

2014-11-05 Invisalign Promo

 

November Marks National Diabetes Awareness Month

November 6th, 2014

Diabetes is a chronic disease that increases the risk for many serious health problems, including severe gum disease. November is Diabetes Awareness Month, and it’s a great time for us at Princeton Dental to remind our patients that the way you care for your teeth at home doesn’t just affect your oral health; keeping your mouth healthy is vital to your overall health, too.

Diabetes is the result of a deficiency, or lack of the hormone insulin to properly transport glucose (blood sugar) to the cells throughout the body. According to the American Diabetes Association, the most common types of diabetes are Type One (90-95 percent of cases), Type Two (five percent), and gestational or pregnancy diabetes. Women who have had gestational diabetes have a 35 to 60 percent chance of developing diabetes, mostly Type Two, in the ten to 20 years following their pregnancy.

In the past decade, researchers have found links between periodontal (gum) disease and diabetes. Not only are people with diabetes more vulnerable to gum disease, but diabetes may also have the potential to affect blood glucose control, as well as contribute to the advancement of diabetes.

Nearly 26 million Americans currently live with the disease, with an additional 79 million in the pre-diabetes stage. There is some good news we want you to know, however; you can protect your gums and teeth from the effects of diabetes by visiting our Brick, NJ office for an exam. Patients who are living with diabetes may require more often visits to ensure their dental health remains in tip-top shape. Many insurance plans provide expanded benefits for diabetic patients, and Drs. Nirschl and De Freitas can tell you how often you need to come in for an appointment.

For more information on how we can help, please do not hesitate to give us a call at our Brick, NJ office.

Halloween: Candy, costumes, and more!

October 30th, 2014

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the dental office of Drs. Nirschl and De Freitas hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Princeton Dental!

What happens if I don’t have my wisdom teeth removed?

October 23rd, 2014

One of the things Drs. Nirschl and De Freitas and our team at Princeton Dental monitor during your dental appointments is the growth of your wisdom teeth, or third molars. Third molars generally begin to erupt between the ages of 17 and 25. Wisdom teeth may require removal for many reasons, including pain, infection, or growth issues. While not all patients need their wisdom tooth removed, problems can develop if removal is not performed.

Overcrowding

Many patients have smaller mouths and jaws, which do not allow room for the third molars to grow in properly. If these teeth do erupt, overcrowding can occur. Your teeth will begin to shift or overlap each other. Wisdom teeth that erupt after orthodontic care is completed can cause the teeth to shift and negate the work performed.

Impacted Wisdom Teeth

When wisdom teeth are impacted, they are trapped below your gum line. Impacted wisdom teeth can be very painful and may be prone to abscess and infection. The impaction can lead to decay and resorption of healthy teeth.

On occasion, if wisdom teeth are not monitored properly, their growth can shift parallel to the jaw line. They can also shift backward and eventually interfere with the opening and closing of your jaw.

Greater Potential for Decay

Even when wisdom teeth grow in properly, the location can make the teeth harder to care for. This in turn can lead to the growth of more bacteria, and create health issues later in life.

If you do not have your wisdom teeth removed, they will require continued monitoring. Wisdom teeth are just as subject to decay and other problems as the rest of your teeth. Those that appear above the gum surface can often be extracted at a dental office in a fashion similar to any other tooth extraction. Impacted teeth are normally handled by an oral surgeon.

Pain in the back of the jaw and swelling may indicated wisdom teeth that are beginning to rupture or are impacted. A simple set of X-rays will determine the extent and direction of growth. Please do not hesitate to discuss your concerns during your next visit our Brick, NJ office. We will be happy to explain wisdom teeth, and potential removal, as it applies to your specific case.

Is there really a link between my mouth and heart?

October 16th, 2014

Yes, indeed! While brushing, flossing, and regular visits to Princeton Dental are all key to maintaining a healthy smile and mouth, Drs. Nirschl and De Freitas and our team want you to know the state of your oral health has a significant effect on your overall health.

Our mouths are full of bacteria—some good, and some harmful. Some types of bad bacteria can cause cavities, gingivitis and even periodontal (gum) disease. Without proper oral care and hygiene, these harmful types of bacteria are capable of entering your blood stream through inflamed gums, when inhaled through the mouth or through saliva.

Gum disease, in turn, has been linked to a number of health problems, researchers have found. These include:

  • Heart disease: Gum disease may increase the risk of heart disease. Gum disease also is believed to worsen existing heart disease.
  • Stroke: Gum disease may increase the risk of the type of stroke caused by blocked arteries.
  • Diabetes: People with diabetes and periodontal disease may be more likely to have trouble controlling their blood sugar than diabetics with healthy gums.
  • Premature birth: Women who suffer from gum disease during pregnancy may be more likely deliver their baby early, and it is likely her infant may be of low birth weight.

Drs. Nirschl and De Freitas and our team at Princeton Dental are experts in identifying and treating periodontal disease. Give us a call today at our convenient Brick, NJ office to schedule an appointment to improve your oral health and your overall health, too!

Five Common Reasons for Emergency Care Visits

October 9th, 2014

A dental emergency can strike anywhere, anytime, and without warning. Perhaps you’re playing a game of touch football on Thanksgiving and your brother-in-law decides to up the ante and tackles you, accidentally knocking out your two front teeth. Or maybe you’re on vacation somewhere in the tropics and decide to go deep-sea fishing, but when you’re climbing onto the boat you slip on the dock, fall, and chip three of your teeth. From misplaced fly balls to bagel seeds causing a painful bout of inflammation, there are all kinds of dental emergencies.

Here are the five most common reasons for emergency care visits.

  1. Somehow you've managed to knock out a tooth. Whether it's the result of a sports injury or because of decay, when you lose a tooth, you need emergency dental care. If the tooth is salvageable, then it can be reattached to the socket, but this needs to be done within a one- or two-hour window.
  2. A chipped tooth is the most common dental emergency. Small chips can be caused by food (chicken bones and nuts have sent many people to the dentist); however, it's usually some sort of accident or injury that more often causes a chip. While you might be embarrassed to walk around with a gaping chip in your front tooth, it is easily fixed with a bond, crown, or veneer.
  3. A broken tooth is more severe than a chipped tooth. When a tooth breaks, it might be due to a small or hidden chip. However, chances are the pain and discomfort will be more severe.
  4. It might seem comical, but getting a piece of food lodged in the wrong place can result in a dental emergency. If something gets stuck deep in a crevice, it can cause pain and inflammation.
  5. The loss of a filling happens more often than you think. When you lose a filling, you need to receive emergency care immediately. If you don’t, you risk further damage to your tooth.

When you injure your teeth or mouth, you need to seek emergency care as soon as possible. In the event of a suspected emergency, don't wait. Contact Drs. Nirschl and De Freitas immediately.

What's on your fall reading list?

October 2nd, 2014

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? Drs. Nirschl and De Freitas and our team at Princeton Dental encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in Brick, NJ for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

Princeton Dental Proudly Supports American Legion Post 348

October 1st, 2014

2014-09-25 princeton dentalPrinceton Dental is proud to welcome the Brick chapter of the American Legion Riders to stop and use our office parking lot as a staging area during their annual rides! We also contribute a monetary donation to the chapter each year.

Just the other week, our office was awarded with a plaque and T-shirt commemorating this year’s annual motorcycle ride. Michael Davidson, a boat surveyor of Michael’s Marine Inspections, and his family have been longtime patients at Princeton Dental. Michael is the contact of the Brick Chapter of the American Legion, and presented our plaque and T-shirt to Dr. Nirschl.

According to the Brick American Legion’s website, the American Legion was chartered by congress in 1919 as a patriotic, mutual-help wartime veteran’s organization. Our local chapter is located on the banks of the Metedeconk River and has over 1300 members, making it one of the largest chapters here in New Jersey.

If you're interested in learning more about Michael's Marine Inspections, be sure to check out his website here!

Easing Your Allergies with Latex-Free Dentistry

September 25th, 2014

Imagine this scenario: you go to the dentist to have a cavity filled, and an hour after the procedure you have a runny nose, scratchy throat, and your arms are breaking out in blotchy, red hives. In other words, you’re in worse shape after the visit to the dentist than you were before you walked in to have the cavity fixed. If you experience any of these types of symptoms or side effects, chances are you have a latex allergy.

What is a latex allergy?

A latex allergy is a hypersensitivity to latex proteins. If you have this allergy, the Centers for Disease Control and Prevention recommend that you avoid direct contact with any materials that contain latex. While latex gloves are known to cause allergic reactions in people with a latex allergy, certain metals, plastics, and other materials used in dental care can also cause an adverse response.

A runny nose and itchy eyes are common allergic reactions to latex. However, Drs. Nirschl and De Freitas and our team at Princeton Dental want you to know it can also trigger more severe symptoms, including asthma, wheezing, and cardiovascular and gastrointestinal ailments.

A latex-safe dental environment

Many dental offices screen patients for a latex allergy. This is only beneficial, however, if you’re already aware you have a latex allergy. The best thing you can do to ease your allergies is to find a dentist who has a latex-safe environment. A latex-safe dental environment observes the following protocols:

  • All patients are screened for a latex allergy.
  • No personnel use latex gloves.
  • All latex products are removed from the patient’s vicinity, including rubber dams and elastics.
  • Work areas contaminated with latex powder are cleaned frequently.
  • Signs are posted to communicate all latex allergy procedures in case of an emergency.

If a latex allergy is part of your medical history, then it’s in your best interest to find a latex-free dental environment. To learn more about latex-free dentistry, or to schedule an appointment with Drs. Nirschl and De Freitas, please give us a call at our convenient Brick, NJ office!

Periodontal disease; I have what?!

September 18th, 2014

Our team from Princeton Dental understands the diagnosis of periodontal disease can be scary and confusing, but the good news in most cases is that it is treatable and manageable with a little work on the part of the patient.

Periodontal disease is an infection of the gum tissue, bone, and supporting structures for the teeth. In the past it was known as pyorrhea. Diagnosis is commonly made through a combination of dental X-rays, periodontal readings (called probe depths), and visual clinical findings.

The mouth is a gateway to the rest of the body and can provide clues to the patient’s overall health. In fact, the first signs of some chronic diseases appear in the oral cavity; they can be a hint for the dentist to refer the patient to a medical doctor for a thorough exam.

If left untreated, periodontal disease can lead to premature tooth loss, sensitivity, and chronic or acute mouth pain. If you have diabetes, you are more prone to periodontal disease and can experience greater difficulty controlling your blood glucose levels. The body ends up spending so much energy fighting the infection in the mouth that it cannot achieve balance elsewhere. Studies have shown that once periodontal disease is treated, the glucose levels become more responsive to control as well.

Standard treatments can include scale and root planing, medicated mouth rinse, and in some cases antibiotic therapy or laser therapy to help control bacteria while promoting healing. Periodontal disease can range from a few localized pockets to extensive and severe infection that may require surgery.

The process of scale and root planing may entail two to four appointments for treatment, with follow-up maintenance exams every three to four months to help prevent the spread of disease. In most cases you will be numbed for comfort during the procedure. After treatment you may feel a little sore—but you are taking steps to improve your health!

Scheduling an appointment with the Brick, NJ office of Drs. Nirschl and De Freitas will give you an accurate diagnosis and a range of treatment options. Periodontal disease is “silent,” which means you will not always experience pain as a signal of infection. When caught early and subjected to proper oral hygiene care on a daily basis, treatments are usually successful.

Get spotted, win big from Princeton Dental!

September 17th, 2014

2014-09-11 croppedHave you heard about our Princeton Dental magnet campaign? If you’ve been in the office the last few months, you may have noticed a sign for it!

It’s easy to participate. Next time you’re in the office, sign our clipboard, write down your license plate number, pick up a magnet, and put in on your car. If our team spots your car around town sporting your Princeton Dental magnet, you could win a $50 gift card!

Our team is super excited to announce our first winner, Betty S., from right here in Brick, NJ! Congratulations, Betty!

Thanks to Invisalign®, you can have a perfect smile without metal wires or brackets!

September 11th, 2014

When it comes to straightening your smile, our team at Princeton Dental knows that having a mouth full of metal braces may not be your idea of fun. Luckily for you, Drs. Nirschl and De Freitas can offer a cosmetic alternative: Invisalign!

Using a series of clear, comfortable, and completely customized aligners, you can get the smile you’ve always wanted without traditional braces.

Since Invisalign aligners are discreet, they’re hardly noticeable when you speak and smile, and because they’re removable, you can eat and drink whatever you want. Just remember to brush and floss before putting your aligners back in! Treatment with Invisalign is just as effective as with metal braces, and the results are just as amazing!

If you want to know more about Invisalign, contact our Brick, NJ office to schedule an appointment.

Some Benefits to Giving Your Smile an Extra Boost

September 4th, 2014

For many individuals, autumn brings with it a number of new beginnings. Fall is the time that many people return to school, get back to the daily grind after an enjoyable summer, and even get married. As the weather cools down, it’s easier to enjoy the outdoors. And regardless of what fall-related events are on your calendar, Drs. Nirschl and De Freitas and our team at Princeton Dental know you’ll want to look your best.

One of the very first things that people will notice about you is your smile. And if yours has become less dazzling over the years — as teeth tend to do — you know how disappointing it is not to have the beautiful, pearly white look you’re used to.

Benefits to Teeth Whitening

For school-bound students and autumn brides, fall calendars are certainly filled. School and weddings call for large financial investments, loads of social interaction, and a large amount of personal dedication. So the last thing any bride or student wants to think about is a less-than radiant smile.

For many, there is a lack of confidence associated with their smile and investing in teeth-whitening techniques can be an effective solution. Studies suggest that not only can you experience a boost in your level of confidence, but also you may find that other advantages quickly fall into place.

A confident smile can affect:

  • Personal and work-related relationships
  • Job interviews and meetings
  • Success when dealing with customers and potential clients
  • Your personality and general happiness with your age
  • Overall outlook on daily interactions

A Real Effect on Daily Living

All of these benefits can relate directly to how you see yourself. When you are insecure with something as prominent as your smile, it can affect the way that you handle your life, everything from social gatherings to professional situations.

Now is the perfect opportunity to rejuvenate your smile. With the right teeth-whitening product and regular hygienic practices, walking down the aisle or starting the new semester with the utmost confidence has never been easier.

Happy Labor Day!

August 28th, 2014

Labor Day is upon us, and that means the non-official end to summer. Before the kids head back to school and temperatures start to cool down, this is your last chance to barbeque in the beautiful Brick, NJ community, head to the lake, and wear your favorite pair of white pants.

About Labor Day

Each year, Labor Day is celebrated on the first Monday of September. It is the one day of year Americans celebrate their achievements in work, which the US Department of Labor says has contributed to prosperity and well-being of America as a whole. Americans have been celebrating Labor Day since the 1880s, and today it is an official federal holiday.

Interesting Facts About Labor Day

  • Every year, more than 30 million Americans travel over Labor Day weekend.
  • Canada was the first to celebrate Labor Day, and the US soon followed.
  • President Cleveland made Labor Day and official US holiday in 1894.
  • Labor Day marks the beginning of the NFL and NCAA sports seasons for fans.
  • Labor Day marks the end of hot dog season, when Americans consume seven billion hot dogs.

Thanks for being a valued patient of our dental office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!

Are you a tooth grinder?

August 21st, 2014

Perhaps you had a particularly irritating commute home from work, and you realize at the end that your jaw was clenched tight the entire time. Or maybe you grind your teeth when you are nervous or anxious about an upcoming business meeting. Most people grind their teeth from time to time, but it’s important to recognize the signs and symptoms of chronic tooth grinding. Known as bruxism, this condition can lead to oral health problems and dental issues later.

Signs and symptoms of bruxism

  • Your partner might complain about the fact that you grind your teeth while you sleep. People who grind their teeth on a regular basis often do so during the night, and aren’t necessarily aware it is happening. However, your partner will more than likely notice if you develop this condition. If he or she mentions that it happens often, you might want to contact our team at Princeton Dental.
  • You may experience a persistent and unexplained headache if you grind your teeth too often. You may not realize why you have this headache, because you are not aware of the fact that you have been grinding your teeth. Take note of any headaches you have, and if you cannot attribute them to another source, please give us a call to set up an appointment with Drs. Nirschl and De Freitas.
  • Your jaw will more than likely become sore if you suffer from bruxism. If you wake up in the morning and have any discomfort in your jaw, you might have spent the night grinding your teeth. Our team can give you tips and advice for managing bruxism.

While many people associate their teeth grinding with stress, it actually is caused more often by crooked teeth, an overbite, or an under bite. If left untreated, bruxism can lead to a variety of complications, including dental injuries, hearing loss, and the onset of TMD. If you think that you might be a chronic tooth grinder, it might be time to set up an appointment at our Brick, NJ office in order to find out which treatment options are available to you.

Which toothpaste should I use?

August 14th, 2014

Toothpastes come in many forms and boast different flavors, benefits, and endorsements. All are designed to remove surface bacteria and prevent the buildup of plaque that can cause tooth decay. With so many choices, Drs. Nirschl and De Freitas and our team at Princeton Dental know that selecting the right toothpaste can be intimidating. After all, some benefits are welcome bonuses, while others are absolutely essential. So how can you know which toothpaste is best for you?

ADA Seal of Approval

While all toothpastes must first be approved by the Food and Drug Administration for sale to consumers, the American Dental Association puts these products through further rigorous tests for safety and effectiveness. Toothpaste that boasts the ADA Seal of Approval can be trusted to do exactly what it claims.

Fluoridated

Fluoride is an essential ingredient in a daily toothpaste. It helps to protect the tooth from decay by removing plaque and strengthening the enamel. Although fluoride is found in many public water supplies, many people are deficient in it due to the consumption of bottled water instead of tap water. All toothpastes with the ADA Seal of Approval contain fluoride.

Other benefits

If a toothpaste meets the ADA’s standards and contains fluoride, the next step is to clear it with your dentist. This is especially true if you decide to use a whitening toothpaste, which often contains abrasives to remove surface stains. Though abrasives are an effective aid in tooth whitening, they may not be recommended if you have weak tooth enamel.

Specialty toothpastes

In certain situations, Drs. Nirschl and De Freitas may suggest or prescribe specialty toothpaste, depending on your oral health needs. For example, patients who are prone to tooth decay and cavities despite frequent brushing and flossing may benefit from prescription-strength fluoridated toothpaste to help prevent the weakening of tooth enamel. Others who suffer from tooth sensitivity may benefit from the use of desensitizing toothpaste. Talk with Drs. Nirschl and De Freitas if you think a specialty toothpaste could be right for you by scheduling an appointment at our Brick, NJ office.

What are dental crowns?

August 7th, 2014

A dental crown is often called a “cap.” A dental crown covers all of the visible parts of the tooth and has many functions and reasons for placement.

There are several different types of crowns available at Princeton Dental. They vary in their material, appearance, and functionality. A PFM, or porcelain fused to high-noble metal, is the most common. A full cast, high noble metal crown is a gold crown, and a stainless-steel crown is meant to be temporary. The most natural-looking crown is one that is all porcelain. These are often used for front teeth.

Getting a crown typically requires two appointments. The first is a preparation with impressions, shaping, and placing a temporary. The impressions are either sent to a dental lab, where the process generally takes two weeks, or done in-office with a machine that can make a crown without needing a second appointment. These crowns are made from a high-quality solid block of porcelain. The shape of the tooth is constructed from a digital 3D image of your tooth.

To accurately determine which type of crown is best, you must first know why you need the crown and in what area of your mouth is it needed, which can be answered when you visit us at Princeton Dental. For instance, if you have a gold crown on the lower right and need a new crown directly above on the upper right, the best durability and long-lasting relationship is another gold crown.

If you need a crown on a front tooth, a gold crown may not be the best choice. A PFM has strength but is not ideal, as a dark line will appear at the gum line. A full porcelain crown is going to look as close to a natural tooth as possible, but will have less strength than a gold crown.

There are two types of porcelain crowns, depending on how they are made. A dental lab makes a full porcelain crown by baking layer upon layer to make the porcelain look like natural enamel. A full porcelain crown made in-office out of a solid piece of porcelain will have increased strength. However, the natural layered appearance is extremely difficult to achieve.

A crown is placed on a tooth when added strength is needed. Cracks, large broken-down fillings, or previous root canal treatment are all conditions where a crown is the standard care. The type of crown that is most appropriate depends greatly on location.

How Sedation Dentistry Can Help You Overcome Dental Anxiety

July 31st, 2014

Putting off your dental visit to Princeton Dental because of fear or anxiety only increases the potential for tooth decay or gum problems. At our office, Drs. Nirschl and De Freitas and our team offer solutions that allow you to relax, without any pain, so you can keep your mouth healthy. Our solutions can help with many different anxiety issues for both adults and children.

Help with minor anxiety

Nitrous oxide is an excellent choice for most patients. Sometimes referred to as laughing gas, nitrous oxide can be regulated to provide you with the amount of sedation you need. When used before a local anesthetic, the injection will not be uncomfortable and you should not notice any pain during your procedure.

If you plan to use nitrous oxide, you can drive yourself to your appointment. In most cases, you will be fine to drive after your treatment: the sedation wears off quickly. Nitrous oxide can also be used along with other sedation techniques to produce a higher level of sedation.

Oral sedatives are available in a liquid or pill form. If you experience moderate anxiety levels, you can be given a tablet to take before your appointment. This type of sedation will be beneficial in relieving the anxiety that can build before your procedure. However, if you choose this method, you cannot drive yourself to your appointment.

Help with major dental anxiety

If you experience extreme levels of stress and anxiety about dental treatment, you may wish to discuss deep sedation or general anesthesia. With these techniques, you will be barely conscious or unconscious during your procedure. You will not feel discomfort or pain. Once you have experienced dentistry with a sedation technique, your anxiety level may decrease on its own.

People are not born with the fear of a dental exam. Unfortunately, most anxiety issues are due to a bad dental experience or childhood trauma. Sometimes anxiety comes from listening to the tales of others, who may have exaggerated their story. Talk to Drs. Nirschl and De Freitas and our team about your dental concerns or fears. Let us help you so you can get the dental care you need for a healthy mouth for life.

For more information about overcoming dental anxiety, or to schedule an appointment with Drs. Nirschl and De Freitas, please give us a call at our convenient Brick, NJ office!

Tips for Using Invisalign®

July 24th, 2014

More than one patient has come into our office and asked, “What can I do to help my teeth when wearing Invisalign?”

While everyone’s teeth and dental needs are different, there are certain things everyone can do to make wearing their Invisalign aligners a more rewarding experience. Always follow the list of instructions and tips from Drs. Nirschl and De Freitas, and add the following advice to your daily routine.

Always ask us about teeth whitening. Our team at Princeton Dental knows how important it is for you to keep your teeth white and stain-free from the foods and drinks you consume daily. If you have attachments to your teeth, they will not whiten properly. Ask our office about teeth whitening when wearing your aligners; it might be best to wait until your treatment is complete.

Continue flossing every day. You should be flossing in any case. But it can be easy to assume that Invisalign will protect your teeth from bacteria. This is not true. Bacteria can get behind the aligners and affect the health of your teeth and gums, so keep up with your flossing schedule.

Follow the 48-hour rule when wearing your aligners. When you insert every new set of aligners, you should leave them in as much as possible during the first 48 hours. Your teeth will move more during this timeframe, and the aligners do the most good during this time.

You may experience slight discomfort while wearing your Invisalign aligners. You can take a pain reliever to help with the discomfort, but if you experience too much pain, please give us a call at our convenient Brick, NJ office to schedule an appointment!

Invisalign® Q&A

July 17th, 2014

It’s estimated that up to four million people at any one time are wearing braces in the United States and Canada. But Drs. Nirschl and De Freitas and our team at Princeton Dental know that braces have come a long way from the early days of orthodontics, so much so that these days, options are available that are not visible to onlookers. The most popular of these “invisible” braces is Invisalign. Here’s a list of FAQs regarding Invisalign:

Are they really invisible?

Yes, the clear liners are virtually invisible, so they enable patients to feel good about themselves and their appearance, while getting the orthodontic treatment they need.

Are there wires, rubber bands, and brackets with Invisalign?

Nope. Invisalign is truly an alternative to conventional braces. The treatment consists of clear liners that can easily be removed and cleaned throughout the day. There are no wires, so there’s less poking and mouth irritation compared to braces. There’s also no wire tightening at adjustment appointments, so patients don’t have to worry about a sore mouth in the days that follow in-office visits.

I’ve heard that if I get braces, I won’t be able to eat certain foods like popcorn and hard candy. Is this true with Invisalign too?

No. With Invisalign, there are no food restrictions. You simply remove your aligners when you’re eating, and replace them after you’ve finished and brushed any leftover food particles away.

Does Invisalign cost more than braces?

While overall cost varies on a patient-by-patient basis and is based largely on the level of treatment, Invisalign costs about the same as traditional braces, which makes this treatment option a truly affordable alternative.

How does brushing compare with conventional braces?

Brushing your teeth while wearing conventional braces takes some getting used to. Patients have to brush around the metal brackets and floss with a specialty tool to get into the hard-to-reach areas of the mouth. By contrast, Invisalign can be removed at any time to permit regular brushing and flossing.

Every patient is different and Invisalign might not be the best course of orthodontic treatment for everyone, but it's an option that's gaining more and more popularity, and it's an orthodontic alternative that doesn't sacrifice comfort and convenience for results. For more information, or to schedule a consultation, please give us a call at our convenient Brick, NJ office!

What’s the advantage to Invisalign®?

July 10th, 2014

Invisalign, which we happily provide at Princeton Dental, is a great alternative to traditional orthodontic treatment if you've been apprehensive about the thought of metal braces. During your initial visit, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Invisalign treatment, which consists of a series of aligners that you switch out approximately every couple of weeks, can help patients with crowded teeth, crossbites, overbites, underbites and more. Invisalign gradually shifts your teeth into place, creating the dazzling smile you’ve always wanted. During treatment with Drs. Nirschl and De Freitas, patients wear the aligners all day and night, except for during meals and when they’re brushing and flossing; cleaning your teeth and eating are a snap since you can easily remove your aligners! And because they’re clear, no one will know that your teeth are steadily straightening!

To find out if you are the right candidate for Invisalign treatment, we invite you to give us a call at our convenient Brick, NJ office and schedule a consultation.

Refer a Friend and win an iPad Mini!

July 7th, 2014

The summer is finally rolling, and with it, our team is rolling out an awesome promotion for our patients!

At Princeton Dental, we are blessed to have a family of patients who trust us and value the dedication, personalized care and attentiveness that we’ve given to people in the community over the years. Did you know that most of our new patients come from referrals by people like yourself? Chances are, you were one of them.

We wanted to take this opportunity and ask you to help us spread the word. If you have friends and relatives who could benefit from our services, can you please give us a referral? It will mean the world to us, and it could make you the owner of a shiny new iPad Mini! :)

Between now and September 30, if your friend becomes a patient, you’ll be entered into a drawing to win an iPad mini. There is no limit on the number of friends you can refer!

Good luck winning the iPad Mini, and thank you for your continued confidence in our practice!

princeton refer a friend

 

Happy Fourth of July!

July 3rd, 2014

Happy Independence Day from Drs. Nirschl and De Freitas and team! The Fourth of July celebrations in America may have changed a lot over the years, but there is no doubt that we Americans love to celebrate the anniversary of our country's independence! Today we're devoting the Princeton Dental blog to some fun facts about the Fourth!

  • My, how we have grown! This year the United States Census Bureau estimates that our country has 313.9 million residents celebrating the Fourth of July this year, but back in 1776 there were just 2.5 million members of the country.
  • Our country loves to show how proud that we are of our independence. Did you know that there are 31 United States places with the word “Liberty” in their names? The state of Iowa actually has four towns with the word Liberty in the name: Libertyville, New Liberty, North Liberty, and West Liberty.
  • The United States loves Fourth of July food! It is expected that around 150 million hot dogs are eaten on the Fourth each year. One of the Fourth's most popular sides, potato salad, goes just perfectly with the hotdogs and hamburgers that are standard Fourth of July fare. Some people choose potato chips instead, but we wouldn't have such a plethora of potatoes if not for the prodigious production of the states of Idaho and Washington -- they provide about half of all the potatoes in the United States today!
  • Americans love celebrating the Fourth outdoors: About 74 million Americans fire up their BBQ grill every Fourth of July.
  • The Chinese contribution: Did you know that Americans have spent more than $211 million on fireworks that were imported from China?

No matter how your family chooses to celebrate the Fourth, stay safe, take precautions, and don't forget to brush after your fabulous Fourth feast!

In Remembrance of Dr. Myles Sandberg

July 1st, 2014

With deep, deep, sadness, we acknowledge the passing of Myles Sandberg. Princeton Dental wouldn’t be what it is today without Dr. Myles Sandberg, who established our practice over thirty years ago. He sincerely loved his patients, his staff, and his work. He will truly be missed by all.

 

What’s the advantage of Invisalign®?

June 26th, 2014

Drs. Nirschl and De Freitas and our team know it is natural for you to feel some concern when you need to wear any type of dental device to correct a problem with your teeth. Both braces and Invisalign can produce good results in giving you the smile you’ve always wanted. Both methods can straighten your teeth and alleviate such issues as crowding, spacing, cross bite, overbite, and underbite. Both methods of treatment have a similar cost.

You can take a cross-country road trip in a ten-year-old economy car or you can make the trip in a brand-new luxury sedan. Both will get you to your destination, but you will be far more comfortable traveling in the luxury sedan. Similarly, your journey to a great smile is much more comfortable and convenient with Invisalign as opposed to braces.

Comfort

Some of the discomfort you may experience with braces is greatly reduced with Invisalign. Because Invisalign is custom-fit to your mouth and made of plastic, you will feel less pain, irritation, and soreness. Unlike braces, there are no food restrictions; you can eat anything that is on your diet.

Brushing and flossing

Of course you will want to brush and floss your teeth to prevent plaque buildup, tooth discoloration, and dental decay. If you wear braces, these simple tasks can become quite a challenge. Invisalign aligners are very easy to remove and replace, so you can brush or floss like normal without having to work your way around any metallic framework covering your teeth.

Appearance

You do not have to be embarrassed to show your teeth when you are using the Invisalign system. Since the aligners are practically invisible, no one will even notice you are wearing them! Whether you are a teenager or an older adult, you can live your life normally.

If you want to learn more about Invisalign, or are wondering what your treatment options are at Princeton Dental, feel free to give us a call at our convenient Brick, NJ office!

What are the five things I should do in between visits?

June 19th, 2014

When it comes to keeping your smile looking its best, good oral hygiene is a must! Good oral health habits should start early and continue throughout your lifetime. Here, Drs. Nirschl and De Freitas and our team at Princeton Dental suggest five habits worth adopting that will help keep your teeth healthy:

  • Brush and floss regularly. Brush gently at least twice a day, paying special attention to the gum line to rid your mouth of food and bacteria that may lurk in between your teeth. Floss at least once a day. Replace your toothbrush every three to four months or sooner if the bristles are frayed.
  • Make regular visits to see Drs. Nirschl and De Freitas. Regular checkups (twice yearly) will help diagnose any dental problems early on when they can be more easily treated.
  • Stop smoking. Did you know smokers are four times as likely as nonsmokers to develop periodontal (gum) disease? Tobacco, whether in the form of cigarettes, pipes, cigars, or chewable tobacco, increases oral and throat cancer risks, and raises the risk for candidiasis, an oral fungal infection. Smokeless tobacco contains sugar, which furthers your risk for cavities.
  • Limit your alcohol intake. Heavy drinking dramatically increases the risk of developing mouth and throat cancers.
  • Eat healthy. Avoid snacking on foods that contain high levels of sugar or starch. We encourage you to eat plenty of fruits and vegetables, which are known to help stimulate the flow of saliva to re-mineralize tooth surfaces and neutralize cavity-causing bacteria.

To learn more about the habits you should practice in between your visits to Princeton Dental, or to schedule an appointment, please give us a call today!

How do I prevent oral cancer?

June 12th, 2014

The fact is, according to the Oral Cancer Foundation, close to 40,000 Americans will be diagnosed with oral or pharyngeal cancer this year, resulting in more than 8,000 deaths. Men face twice the risk of developing oral cancer as women, and men who are over age 50 face the greatest risk. The American Cancer Society recommends an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. The five-year survival rate is only 50 percent, and oral cancer, which is the sixth-most common diagnosed form of the disease, is one of the few cancers whose survival rate has not improved. Today, Drs. Nirschl and De Freitas and our team would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene to prevent the disease.

So, what can you do at home to take an active role in preventing oral cancer?

The American Cancer Society recommends an oral cancer screening exam every three years for people over the age of 20 and annually for those over age 40. In addition, we encourage you to:

  1. Conduct a self-exam regularly. Using a bright light and a mirror, look at and feel your lips and gums. Try tilting your head back to look at and feel the roof of your mouth, and pull your cheeks out to look inside of your mouth, the lining of your cheeks, and your back gums. Pull out your tongue and look at all surfaces. Feel for lumps or enlarged lymph nodes in both sides of your neck and under your lower jaw. Please give us a call immediately if you notice any changes in the appearance of your mouth or any of the signs and symptoms mentioned above.
  2. Don’t smoke or use any tobacco products and drink alcohol in moderation.
  3. Eat a well-balanced diet. This includes eating a wide variety of foods from the five primary food groups on a daily basis to meet the recommended amounts of vitamins, minerals, carbohydrates, proteins, and fats you need in a given day.
  4. Limit your exposure to the sun. Repeated exposure increases the risk of cancer on the lips, especially the lower lip. When out in the sun, be sure to use UV-A/B-blocking sun protective lotions on your skin as well as your lips.

Please let us know if you have any questions about your oral health, either during your next scheduled visit, by giving us a call, or asking us on Facebook.

June is National Smile Month: Show off your smile!

June 5th, 2014

The community health awareness group Oral Health America has reported that 82 percent of adults are unaware of the role that infectious bacteria can play in tooth decay or cavities, and almost three out of five children aged 12 to 19 have tooth decay. Since June is National Smile Month, Drs. Nirschl and De Freitas and our team at Princeton Dental thought we’d remind our patients about the importance of good oral hygiene visits between office visits.

To keep your family’s smiles healthy and beautiful for years to come, be sure to:

  • Brush at least twice a day with fluoride toothpaste
  • Floss every day to clean between your teeth
  • Eat a healthy, well-balanced diet
  • Reduce your intake of sugary foods and drinks
  • Visit Drs. Nirschl and De Freitas for scheduled appointments

If you want to know more about healthy home care habits, feel free to ask our team at your next appointment, or ask us on Facebook!

What is a crown?

May 29th, 2014

Drs. Nirschl and De Freitas and our team at Princeton Dental hear this question all the time. Millions of people have dental crowns that artificially restore the chewing surface of a tooth. Also known as caps, these restorations surround the entire portion of the tooth that is above the gum line. Crowns are custom fabricated to match the color, shape, and size of other teeth and are visually undetectable to others. Several types of materials can be used to create crowns, including stainless steel, resin, metal alloys, porcelain fused to metal, or ceramic. When properly cared for and accurately fit, crowns can stay in place for a decade or more.

There are many reasons to get a dental crown, including:

  • To restore a broken or cracked tooth
  • To protect a tooth after a root canal
  • To restore a severely decayed tooth
  • To help anchor a dental bridge
  • To complete a dental implant
  • To protect a tooth that is at high risk for developing decay
  • For cosmetic purposes

Getting a dental crown

The process of getting a dental crown begins at our Brick, NJ office. X-rays are used to ensure the teeth are healthy enough to receive a crown. If the roots and surrounding bone are in satisfactory condition, the tooth will be numbed, filed, and reshaped in preparation for the crown. If the tooth root is not healthy, a root canal may be necessary first.

After the tooth is prepared, a special paste is placed over the upper and lower teeth to make impressions. These impressions serve as blueprints for the dental laboratory responsible for making the crown. They also help ensure the position of the new crown will not negatively affect a patient’s bite. The prepared tooth is protected by a temporary crown while the permanent one is made. When ready, the permanent crown replaces the temporary crown and is cemented in place.

To learn more about crowns, or to schedule an appointment with Drs. Nirschl and De Freitas, please give us a call at our convenient Brick, NJ office!

Memorial Day and Getting Ready for Summer

May 22nd, 2014

Memorial Day didn't become an official holiday until 1971, but Americans started gathering annually in the spring to remember those who lost their lives in war during the 1860s, right after the Civil War. Celebrated on the last Monday in May, people still decorate the grave sites of war veterans and hold memorial services, but Memorial Day has also evolved into a day that signifies the beginning of summer.

During the summer months, many people take road trips to visit family members. Some head off to the airport to enjoy a long-awaited vacation far away, while others look forward to spending time with friends and family at home. However you spend Memorial Day and the subsequent summer months, there are a few things you can take care of to ensure your summertime is enjoyable.

Checklist for an Enjoyable Summer

  • Have the AC Checked. During the hottest days of summer, many families find themselves sweating it out due to a broken air conditioning system. Be proactive so you can avoid waiting for hours or days because the HVAC repair person is booked solid. Have your air conditioning system checked before or around Memorial Day each year.
  • Ensure Security While You're Away. When you leave for vacation, the last thing you should have to worry about is the security of your home. Install a home security system, if possible, and put a timer on your lights so they go on and off at normal hours. You can also alert your local police department that you'll be gone, and ask them to drive by your house once in a while to make sure everything is okay.
  • Visit Drs. Nirschl and De Freitas Before Vacation. Many people put off exams until after summer vacation. Avoid the crowds and make sure your physical and oral health are in top shape prior to vacation time so there are no unpleasant surprises.

Our team at Princeton Dental wants you to look forward to Memorial Day and the days of summer by preparing to spend the time safely and comfortably. As you plan ahead, take care of your health and secure your home, you can place your focus on creating memories with family members and friends while enjoying your favorite Memorial Day traditions.

I haven’t been to the dentist in years; what should I expect?

May 15th, 2014

Time flies when we are not at the dentist! Before you know it, years may have gone by. Let’s take a moment to explain what takes place when a patient comes back to receive care after an extended period of time.

After a while, small dental concerns or issues can grow into an unexpected journey of discovery and expense. Anxiety is common and expected. Let’s discover first of all, “What brings you here today?” It is a good place to start and once the initial concerns are addressed, a comprehensive plan to restore optimum dental health can be arranged. During the first appointment Drs. Nirschl and De Freitas and our team want you to feel comfortable, and establish a confidence allowing you to be open with any questions.

Your visit will take approximately 90 minutes. First, a complete medical and dental history will be recorded and reviewed in one-on-one interview style. This is the time to voice any concern, anxiety issues, worries, etc. Then, X-rays are taken to provide additional information about what is happening beneath the surface of your teeth and gums. Finally, a series of screenings including those for oral cancer, home care evaluation, and periodontal disease are conducted to complete your oral health evaluation.

The hygienist has a great eye for other conditions such as broken fillings, cracked teeth, active decay, and other dental concerns. Then, Drs. Nirschl and De Freitas will come in for a comprehensive exam and list and prioritize your dental needs. Our treatment coordinator will present scheduling options, insurance coverage, and payment plans.

Our team will coach you and help you gain control of your own dental destiny with good home care habits. You will receive a bag with a toothbrush, floss, appropriate toothpaste, and any other specialized tools for your needs. You will know how often you need to return for hygiene visits or other dental appointments.

Our patients at Princeton Dental are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Brick, NJ office. From phone conversations to financial arrangements to clinical treatment, we want you to feel confident that our team will meet your needs.

Wishing all our moms a happy Mother’s Day!

May 8th, 2014

"Motherhood: All love begins and ends there." - Robert Browning

We would like to take this moment to thank all the great moms out there for being so great during their child’s visits to Princeton Dental. Whether it’s driving their kids to regularly scheduled appointments or for “being there” while their child is treatment, the moms who come to our office are all stellar individuals, so Drs. Nirschl and De Freitas and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

Spring into a beautiful smile - Invisalign Day at Princeton Dental coming soon!

May 5th, 2014

Mark your calendars! For Monday, May 19th only, Dr. Nirschl is offering 1-Day Invisalign Special!

Spring is the time to refresh your smile, and there is no better way to do this than with Invisalign. If you’ve been putting off straightening your teeth, now is your chance to have the straight, beautiful smile you always deserved.

Wondering about the benefits of Invisalign?

  • Invisalign aligners are clear, discrete and effective at moving your teeth into their ideal positions.
  • You don’t need to change your eating habits, because your aligners can be easily removed.
  • Invisalign aligners are made of comfortable, smooth plastic, so you don’t have to worry about taking care of metal brackets.
  • Invisalign aligners make daily oral hygiene easier, reducing the risk of possible problems.
  • Invisalign treatment is covered by most insurance providers, just like traditional braces.

Call our office to reserve your appointment and take advantage of this one-day special  – space is limited to the first 15 people, so don’t delay!

Invisalign day promotion1

May Marks National Physical Fitness and Sports Month!

May 1st, 2014

The merry month of May also happens to be National Fitness and Sports Month, so take advantage of the warmer days to get outside and exercise! Bringing a friend, family member, or coworker with you when you go for a brisk walk during a lunch break can provide an opportunity to socialize as well as health benefits. If you need a little more motivation, here are some good reasons to stay active and fit.

Exercise provides:

  • Improved stamina and energy as well as toned muscles and bone strength and density
  • Improved circulation and breathing for a healthier heart and lungs
  • Reduced risk for Type 2 diabetes and certain forms of cancer
  • For older adults, regular exercise may help improve balance and reduce the risk of falls as well as improved cognitive abilities

Children and Teens

Children and teenagers spend long hours at their desks in school, on the computer, watching television, and involved in other sedentary activities that result in obesity and poor health later in life. Getting them engaged in school or community sports teams can help them form good life-long exercise habits. One important note: If they are participating in contact sports, Drs. Nirschl, De Freitas, and Zona and our team at Princeton Dental recommend your kids wear an approved mouthguard to protect those valuable teeth from injury! Ask us for a proper fitting of your safety appliance during your next visit!

A gym membership is nice but not necessary to stay fit; try these easy ways to work some exercise into your daily routine.

At Home

  • Take a friend along for company on a walk through your neighborhood.
  • Pursue gardening or other yard work, including mowing or raking.
  • Take your kids on a bike ride or have them push a baby stroller around the block.

Couch potatoes take note: simply moving from the sofa to the floor for some sit-ups, leg-lifts, or push-ups while you’re watching television can help you get in better shape in no time.

At Work

  • Take the stairs instead of the elevator.
  • Take exercise breaks for walks around the building or parking lot.
  • Walk or ride a bike to work.

So what are you waiting for? Get moving!

For more information on exercise techniques, or to schedule an appointment with Drs. Nirschl, De Freitas, and Zona, please give us a call at our convenient Brick, NJ office!

What happens during my hygiene appointment?

April 24th, 2014

Regular visits to the dentist are important for people of all ages. Seeing Drs. Nirschl, De Freitas, and Zona as recommended provides preventive care for oral diseases. If a disease is already present, early detection can prevent hefty dental bills and further damage to the teeth and gums. Once you have made the decision to visit Princeton Dental, you may ask yourself, “What happens during my hygiene appointment?”

Preparation

Arrive at your appointment a few minutes early and bring along any insurance cards or medical information. While it may seem irrelevant, a full medical history can be important, since certain conditions include symptoms that occur inside the mouth.

Initial appointment

In some offices, the first appointment is a screening appointment, during which a dental hygienist will go over your medical and dental history with you, assess the condition of your teeth and gums, then schedule a future appointment to complete the cleaning and any other treatments you may need. In other offices, the screening and cleaning will be done over the same appointment. The dental hygienist may:

  • Count your teeth
  • Clean your teeth by using a small tool to scrape them in order to remove plaque
  • Brush and floss your teeth
  • Apply a fluoride treatment using foam that sits on your teeth within a tooth mold, or a gel that can be “painted” on with a small brush
  • Inspect your teeth for cavities or signs of decay
  • Administer oral X-rays. You will be covered with a special blanket to protect your body and then given a small piece of plastic on which to bite.

Seeing the dentist

After the dental hygienist completes his or her portion of the appointment, the dentist will usually come in and inspect your teeth. After an initial inspection, the dentist may:

  • Perform a quick tooth count as well as a more thorough inspection, looking for signs of decay in and around the teeth
  • Use a small tool called a “probe” in order to check for signs of gum disease around the base of your teeth
  • Visually inspect the skin around your mouth, called the “mucosa”

If you need any further dental work completed, you will usually be required to make an additional appointment. To learn more about hygiene visits, or to schedule an appointment with Drs. Nirschl, De Freitas, and Zona, please give us a call at our convenient Brick, NJ office!

Make Every Day Earth Day

April 17th, 2014

Earth Day began in 1970 as an event to raise awareness of our environment. What began as a single day in April is now recognized around the world to bring attention and education to global environmental issues. Conserving our natural resources, reducing water and air pollution, and developing green technologies are all ways in which we can improve the environment around us.

Reduce, Recycle, and Reuse

One of the easiest ways to participate in Earth Day is by simply reducing the amount of refuse that ends up in landfills. Many communities have recycling programs for paper, plastic, and metal refuse. By keeping recyclable items out of landfills, we reduce the need for new disposal space and the amount of energy needed for burning refuse. Recycling products also helps conserve the resources that are used in making new products.

You can save money by reducing your consumption of many everyday products. Single disposable water bottles can be recycled but they are costly. By using filtered faucet water, you can conserve your financial resources. Disposable paper towels can also be wasteful. Consider reusable cleaning rags for the majority of your chores.

Reusing items saves both the environment and your finances. A large number of products can be re-purposed to create a new item. Old furniture can be remade into a new piece. Old clothing can be used for craft items. If you are not able to find ways to reuse your old items, donate them to a charity. Remember to continue your positive environmental steps on a daily basis.

Other things you can do to improve the environment

Everyone, young or old, can find ways to participate in improving the environment. Some ideas include:

  • Planting trees
  • Picking up litter
  • Reducing energy consumption
  • Walking, bicycling, or carpooling to work or school
  • Disposing of hazardous waste properly
  • Using rain barrels to conserve water for plants

Earth Day is designed to appreciate and celebrate the health of the earth. Keeping the earth healthy is important, but keeping your mouth healthy is important, too. Healthy teeth and gums contribute to your overall health and well-being, so remember to call our team at Princeton Dental to schedule an appointment. Have a happy and healthy Earth Day, from Drs. Nirschl, De Freitas, and Zona!

Keeping Your Teeth Healthy with VELscope® Oral Cancer Screening

April 10th, 2014

Oral cancer is largely viewed as a disease that affects those over the age of 40, but Drs. Nirschl, De Freitas, and Zona and our team at Princeton Dental want you to know the disease can affect people of all ages, even non-tobacco and alcohol users. Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth.

Often not caught until the later stages, oral cancer can be disfiguring, sometimes resulting in the removal of the jaw, tongue, or other facial structures. In the worst cases, oral cancer can be deadly, killing more people in North America than cervical cancer, malignant melanoma, or Hodgkin’s disease, according to the Oral Cancer Foundation. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Until recently, a visual examination at a dentist’s office was the only method available to detect and diagnose signs of oral cancer. But these days, a technological breakthrough called the VELscope allows Drs. Nirschl, De Freitas, and Zona to meticulously screen for oral cancer, detecting symptoms that the naked eye simply can’t see, including inflammation, infection, cancerous, and precancerous tissue.

During a VELscope exam, we shine a blue, high-powered light over your oral tissue. Any anomalies appear underneath this light, including the earliest formations of cancerous lesions or other abnormalities. This screening takes just a few minutes, is painless and is the best detection technology we have available. The results are immediately available to Drs. Nirschl, De Freitas, and Zona and our team.

We recommend an oral cancer screening exam every three years for those of our patients over the age of 20 and annually for those over the age of 40. Because early detection can dramatically improve the chance of successful treatment, be sure to ask Drs. Nirschl, De Freitas, and Zona and our team to conduct an oral exam during your next visit to our Brick, NJ office.

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 14th, 2014

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

Are your teeth ready for the big day?

March 7th, 2014

At Princeton Dental, we know that just about anyone who has taken on the challenge of planning her own wedding could tell you how important the little details can be. Things like having complementary colors, the right location, show-stopping flowers, and delicious food are all a big part of planning your spring wedding. Another little detail that has a big "I do" related role? Your smile.

Whether you’re the bride, or an attendant, looking your best when you tie the knot (or help someone tie the knot) is essential. If your teeth aren’t ready to make an entrance, turning to one of the many available teeth whitening solutions is a great option.

Reliable Solutions

Before the wedding day arrives, you should take your smile into consideration. If diet and daily wear-and-tear have caused your teeth to lose their original luster, our team can help! In-office procedures do cost more than kits you use at home, but with an in-office treatment, you benefit from a professional taking proper care of your teeth.

In addition, relying on our office to handle teeth whitening before the wedding can give you access to trustworthy advice on how to keep your teeth looking their best for a longer period of time. It’s common for someone experienced in assisting people with their oral health to suggest investing in an in-office whitening technique and then following up with a teeth-whitening kit at home.

This is a season of new beginnings and beauty. Take the time to bring out your most beautiful smile before the big day. Don’t let your smile hold you back on your wedding. With our in-office teeth whitening, you can be sure that you’ll be more confident and comfortable interacting with friends and family.

Welcome to Our Blog

February 21st, 2014

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctors and staff - we hope this will be a valuable resource for our patients, their families, and friends!

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