Dr. Rosamina De La Rosa
21 Summit Street
Parsippany, NJ 07054
973-257-0707

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By Rosamina De La Rosa DDS, FAGD, PA
November 27, 2018
Category: Dental Procedures
Tags: dentures  
DenturesareStillaViableChoiceforToothReplacement

Edentulism, the loss of all of a person’s teeth, is more than an appearance problem. As one in four Americans over 65 can attest, total tooth loss can lead to emotional suffering, social embarrassment and a lack of nutrition caused by limited food choices.

But there are solutions like the removable denture, an effective dental restoration for more than a century. In its current advanced form, the removable denture is truly a functional, affordable and attractive way to restore lost teeth.

Creating an effective denture begins first by taking detailed impressions of a patient’s gum ridges. We use the measurements obtained from this process to create a plastic resin base colored to resemble the natural gums.  Using old photos and other resources documenting how the patient looked with teeth, we choose the best size and shape of porcelain teeth and then position them onto the base.

Finally, we fine-tune the dentures the first time they’re in the patient’s mouth to make sure they have a secure fit and a balanced bite when the jaws come together. We also want to be sure the dentures are attractive and blend well with other facial features. The result:  a new set of teeth that can do the job of the old ones and look nearly as real and attractive.

Dentures, though, do have one major drawback: they can’t stop bone loss, a common consequence of missing teeth. In fact, they may even accelerate bone loss due to the pressure they bring to bear on the gum ridges. Continuing bone loss could eventually cause their once secure fit to slacken, making them less functional and much more uncomfortable to wear.

But a recent innovation could put the brakes on bone loss for a denture wearer. By incorporating small implants imbedded at various places along the gums, a denture with compatible fittings connects securely with the implants to support the denture rather than the gum ridges. This not only relieves pressure on the gums, but the titanium within the implants attracts bone cells and stimulates their growth.

Thanks to this and other modern advances, dentures continue to be a solid choice for tooth replacement. Not only can they restore a lost smile, they can improve overall health and well-being too.

If you would like more information on dental restorations for missing teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Removable Full Dentures.”

By Rosamina De La Rosa DDS, FAGD, PA
November 17, 2018
Category: Oral Health
DentalInjuryIsJustaTemporarySetbackforBasketballStarKevinLove

The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.

In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?

The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.

Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.

So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”

Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.

If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”

By Rosamina De La Rosa DDS, FAGD, PA
November 07, 2018
Category: Oral Health
Tags: aspirin  
MakeSureYourDentistKnowsYoureTakingDailyAspirin

Aspirin has been a popular pain reliever and fever reducer for over a century. Its effect on the clotting mechanism of blood, however, has led to its widespread and often daily use in low dose form (81 mg) to help reduce the chances of heart attack or stroke in cardiovascular patients. While this has proven effective for many at risk for these conditions, it can complicate dental work.

Aspirin relieves pain by blocking the formation of prostaglandins; these chemicals stimulate inflammation, the body’s protective response to trauma or disease. Aspirin reduces this inflammatory response, which in turn eases the pain and reduces fever. It also causes blood platelets to stop them from clumping together. This inhibits clotting, which for healthy individuals could result in abnormal bleeding but is beneficial to those at risk for heart attack or stroke by keeping blood moving freely through narrowed or damaged blood vessels.

Even for individuals who benefit from regular aspirin therapy there are still risks for unwanted bleeding. Besides the danger it may pose during serious trauma or bleeding in the brain that could lead to a stroke, it can also complicate invasive medical procedures, including many in dentistry. For example, aspirin therapy could increase the rate and degree of bleeding during tooth extraction, root canal or other procedures that break the surface of soft tissue.

Bleeding gums after brushing is most often a sign of periodontal (gum) disease. But if you’re on an aspirin regimen, gum bleeding could be a side effect. A thorough dental examination will be necessary to determine whether your medication or gum disease is the root cause.

It’s important, then, to let us know if you’re regularly taking aspirin, including how often and at what dosage. This will help us make more accurate diagnoses of conditions in your mouth, and will enable us to take extra precautions for bleeding during any dental procedures you may undergo.

If you would like more information on the effects of aspirin and similar medications on dental treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Aspirin: Friend or Foe?

By Rosamina De La Rosa DDS, FAGD, PA
October 28, 2018
Category: Oral Health
Tags: toothache  
WhatsCausingYourThrobbingToothache

There are few more painful experiences than a toothache. You can't ignore it: it's as if your mouth is screaming for relief.

But while the throbbing pain can tell you something's wrong, it may not be clear exactly what's wrong. There's more than one possibility — it could be with the tooth itself, the gums around the tooth or a combination of both.

In the first case, a toothache could be a sign of severe tooth decay within the tooth's innermost layer, the pulp. The pain you feel comes from the nerves within the pulp under attack from the infection.

For this level of decay there's one primary way to save the tooth and stop the pain: a root canal treatment. In this procedure we remove all the infected and dead tissue from the pulp and fill the empty chamber and root canals with a special filling. We then seal and crown the tooth to prevent further infection.

Another source of toothache happens when your gums have become painfully inflamed due to infection. This is usually caused by periodontal (gum) disease, triggered by a thin film of bacteria and food particles on tooth surfaces known as plaque. In this case, we must remove all plaque and calculus (hardened plaque deposits) from tooth and gum surfaces, including on the roots. Your gums can then heal and return to health.

But your situation could be more complex. Untreated tooth decay can advance to the roots and subsequently infect the gums. Likewise advanced gum disease can pass the infection from the gums to the root and into the pulp.  For such cases you may need a specialist, either an endodontist specializing in root canal issues or a periodontist specializing in the gums.  They can better diagnose the origin and extent of the problem and offer advanced techniques and treatments to deal with it.

It's possible in these more complex situations your tooth has become diseased beyond repair and must be replaced. It's important, then, that you see us if you experience any significant tooth pain, even if it seems to go away. The sooner we diagnose and begin treating the cause of your pain, the better your chances of regaining your dental health.

If you would like more information on treating dental disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Confusing Tooth Pain.”

By Rosamina De La Rosa DDS, FAGD, PA
October 18, 2018
Category: Oral Health
Tags: tooth decay  
TakeTheseMeasurestoLowerYourChildsToothDecayRisk

As a parent you’re always on the lookout for dangers to your toddler’s well-being: sharp corners on furniture, uneven walks or the occasional stomach bug. But a situation could be brewing in their mouth you might not be aware of until it’s become a full-blown problem.

The silent danger is tooth decay, which could be developing as early as infancy. Undiagnosed and untreated, it could ultimately cause premature loss of primary (“baby”) teeth with adverse effects on the eruption of incoming permanent teeth.

Tooth decay arises from certain strains of mouth bacteria, often passed down from parent to child. These bacteria produce acid as a byproduct after feeding on carbohydrates (especially sugars). The more food available, the more acid they produce. This wreaks havoc on tooth enamel, the teeth’s outer protective covering by softening and dissolving its mineral content. This gives decay an opening to infect the interior of a tooth.

Combine inadequate hygiene practices (especially brushing) with poor dietary habits, and you have the conditions for a perfect disease storm in your child’s mouth. That’s why you should begin oral hygiene as soon as you notice their first teeth. Wiping them with a clean, wet cloth is sufficient in the beginning, but you should start daily brushing (with fluoridated toothpaste to strengthen young enamel) by their first birthday.

You should also practice good dietary habits. For example, avoid giving an infant or toddler a bottle filled with juice, milk or formula to sleep with through the night — the constant sipping bathes the mouth in sugars bacteria feed on. Instead, use plain water. You should also focus on nutrition from the get-go to help build overall good health as well as strong teeth and gums.

As an added measure, begin regular dental visits by their first birthday. A checkup and cleaning every six months will help us detect early tooth decay and lessen its impact. We can also provide sealants and topical fluoride to give added protection against decay.

Catching and treating decay early before it gets too far is the best way to prevent early tooth loss. Your child’s future dental health might depend on it.

If you would like more information on your child’s dental care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Taking the Stress out of Dentistry for Kids.”





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