Dr. Boff & Dr. Goujani
50 North Central Ave. 
Ramsey, NJ 07446
(201) 327-3060

My Blog
By Robert E. Boff, D.M.D. and Banafsheh Goujani, D.M.D.
July 24, 2020
Category: Oral Health
Tags: crowns   Dental Problems   Bridges  

Crowns are one of the most versatile restorations of your Ramsey NJ dentists, Drs. Robert Boff and Banafsheh Goujani. Adding crowns can enhance your appearance, protect fragile teeth, and restore the function of broken teeth. Talk to your dentist today to learn more about Ramsey Crowns & Bridges.

Crowns treat multiple tooth issues

Hollow crowns are shaped like the top parts of your teeth visible above your gums. The restorations slip over teeth, covering them completely on all four sides. Before you receive a crown, your tooth will be reduced in size during a visit to the Ramsey dental office. Decreasing the size of the tooth slightly ensures a proper fit for the crown.

Crowns are cemented to teeth for stability and feel like a natural part of your smile. The restorations are made of durable materials that look very much like tooth enamel, including ceramic, resin, porcelain, and porcelain-fused-to-metal. Your new crown will be made from an impression of your mouth to ensure that the restoration looks and feels natural.

Because Ramsey Crowns & Bridges cover teeth, they're a good option if you have one of these dental problems:

  • Broken Tooth: Broken teeth not only affect your appearance but can cause pain and make chewing difficult. Adding crowns restores the height, width, and shape of broken teeth, along with ending pain, and makes chewing more comfortable.
  • Cracked or Weak Tooth: A fragile tooth can quickly become a broken tooth. Crowns strengthen and protect weak teeth and are often used if you have brittle teeth or a crack in a tooth, or if you've had a dental procedure that weakened a tooth, such as a large filling or root canal therapy.
  • Unattractive Teeth: Do you have a few teeth that don't look like the others? Dental crowns can conceal discolorations and improve the shape or length of teeth that are crooked or not quite uniform.
  • Short Teeth: Wear and tear or grinding your teeth while you sleep can cause your teeth to become a little shorter. Crowns restore the normal height of teeth. If the decrease in length is caused by grinding, your dentist may recommend that you wear a nightguard while you sleep to prevent further damage to your teeth or your new crowns.

Keep your smile strong and healthy with Ramsey Crowns & Bridges. Call your dentists in Ramsey NJ, Drs. Robert Boff and Banafsheh Goujani, at (201) 327-3060 to schedule your appointment.

By Robert E. Boff, D.M.D. and Banafsheh Goujani, D.M.D.
July 21, 2020
Category: Oral Health
Tags: dental crowns  

Could your smile benefit from a dental crown?

There are many reasons why our Ramsey, NJ, family dentists Dr. Robert Boff and Dr. Banafsheh Goujani may recommend getting a dental crown. In fact, crowns are one of the most commonly placed dental restorations. This custom-made restoration is made to look just like a real tooth, but this tooth-shaped cap is placed over a natural tooth and cemented permanently in place. Why?

You have a cracked or damaged tooth

If you are dealing with a broken, cracked or fractured tooth then this damage doesn’t just weaken the tooth, the tooth will continue to weaken over time if the problem isn’t treated. Therefore, the best way to preserve what’s left of the tooth’s natural structure while rebuilding and strengthening the tooth again is by placing a dental crown.

You have severe decay

If your dentist has detected a cavity, most of the time the problem can be treated with a dental filling; however, if you don’t remember the last time you visited your family dentists here in Ramsey, NJ, for a routine checkup then it’s possible that the decay went undetected until it’s spread deeper within the tooth. When decay is severe enough to impact the overall structure of a tooth then your dentist will most likely recommend a dental crown.

You need a root canal

If bacteria have gotten inside the tooth (either through an injury or a cavity), it can infect or inflame the dental pulp. When this happens the result is usually sudden and intense dental pain. If you are experiencing a severe toothache, then chances are good the dental pulp is inflamed and needs to be removed via root canal treatment. Once the procedure is performed your dentist will place a dental crown over the treated tooth to preserve and protect it.

You need to replace a missing tooth

If you are missing a permanent tooth, then you may be turning to our dental team to get a dental implant or bridge. Whichever restoration you decide on, a dental crown will play a role. A crown is placed over an implant to complete the restoration, while crowns are usually placed on either side of a dental bridge to support it and to keep it fixed in place.

If you are dealing with a damaged tooth and think you may benefit from a dental crown it’s important that you have a family dentist in Ramsey, NJ, that you can turn to for restorative dental care. Call Ramsey Family Dental today at (201) 327-3060 to schedule an immediate dental appointment.

By Robert E. Boff, D.M.D. and Banafsheh Goujani, D.M.D.
June 02, 2020
Category: Oral Health
Tags: dental care  

It's a sad fact: Many people postpone needed dental treatment because of their finances. There's no doubt that treatments for many tooth and gum problems can be expensive. But delaying treatment can make matters worse—and when they do see their dentist to address the issue, the costs can skyrocket.

The thriftiest way to manage your dental health is to prevent disease before it occurs or seek treatment as early as possible. You may incur some initial expense, but you'll pay less in the long-run and have better health to boot.

Here's a common sense approach for easing the impact of dental care on your budget.

Form a customized care plan. The key to keeping your dental expenses in check is to be proactive, not reactive with your care. Don't wait until you begin noticing problems—instead, invest in regular dental visits where your dentist can assess your ongoing individual risk for dental disease. Using that assessment, your dentist and you can then create a care plan that lowers your disease risk and promotes optimal health.

Adopt sound hygiene practices. A simple toothbrush and a roll of floss could save you thousands in dental care costs over a lifetime. Using them daily removes dental plaque, the top cause for both tooth decay and gum disease. Couple that with regular dental cleanings and your risk for costly dental disease will go down significantly.

Try less expensive, short-term restorations. Even with the best prevention strategy, there's always a chance you'll encounter a problem with your teeth or gums. Unfortunately, the best permanent fix may be more than your budget can handle. In that case, consider a less expensive restoration (like resin or glass-based fillings) to protect and restore your problem teeth until you can afford a better permanent solution.

Talk with your dentist about long-term financing. Spreading out the bill for dental treatment over several payments can help you manage unforeseen costs. Talk with your dentist about treatment financing options they offer or sponsor. If possible, have a contingency plan for payment in place before you need it—just in case.

Any kind of dental care, even preventive maintenance, can cost you. But if you manage your care wisely, you can keep that cost to a minimum.

If you would like more information on managing your dental health, please contact us or schedule an appointment for a consultation.

By Robert E. Boff, D.M.D. and Banafsheh Goujani, D.M.D.
May 23, 2020
Category: Oral Health
Tags: sedation dentistry  

Dental visit anxiety is a serious problem: Half of all Americans admit to some level of dental fear, while 15% avoid dental care altogether due to acute anxiety. The harm this can cause to dental health is incalculable.

But dentists have a number of sedation techniques that can relax anxious patients and allow them to receive the care they need. Although often used together, sedation is slightly different from anesthesia, which aims to deaden pain sensation. The aim of sedation is to calm the emotions and state of mind.

Sedation isn't a new approach: Physicians have used substances like root herbs or alcohol to relieve anxiety since ancient times. Modern dentistry also has a long history with sedation, dating from the early 1800s with the first use of nitrous oxide gas.

Modern dental sedation has expanded into an array of drugs and techniques to match varying levels of anxiety intensity. At the milder end of the scale are oral sedatives, taken an hour or so before a dental appointment to produce a calmer state. This may be enough for some patients, or it can be used in conjunction with nitrous oxide.

For those with more intense anxiety, dentists can turn to intravenous (IV) sedation. In this case, the sedative is delivered directly into the bloodstream through a small needle or catheter inserted in a vein. This causes a quicker and deeper reaction than oral sedatives.

Although similar to general anesthesia, IV sedation does differ in significant ways. Rather than unconsciousness, IV sedation places a patient in a “semi-awake” state that may still allow them respond to verbal commands. And although the patient's vital signs (heart rate, breathing, blood pressure, etc.) must be monitored, the patient doesn't need breathing assistance as with anesthesia.

There's one other benefit: The drugs used often have an amnesic effect, meaning the patient won't remember the treatment experience after recovery. This can be helpful in creating more pleasant memories of their dental experience, which could have its own sedative effect in the future.

Whether oral, gas or IV, sedatives are a safe and effective way to calm dental fears during treatment. That could help someone with anxiety maintain their oral health.

If you would like more information on reducing dental anxiety, 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 “IV Sedation in Dentistry.”

By Robert E. Boff, D.M.D. and Banafsheh Goujani, D.M.D.
May 13, 2020
Category: Dental Procedures
Tags: celebrity smiles   veneers  

You probably wouldn't be surprised to hear that someone playing hockey, racing motocross or duking it out in an ultimate fighter match had a tooth knocked out. But acting in a movie? That's exactly what happened to Howie Mandel, well-known comedian and host of TV's America's Got Talent and Deal or No Deal. And not just any tooth, but one of his upper front teeth—with the other one heavily damaged in the process.

The accident occurred during the 1987 filming of Walk Like a Man in which Mandel played a young man raised by wolves. In one scene, a co-star was supposed to yank a bone from Howie's mouth. The actor, however, pulled the bone a second too early while Howie still had it clamped between his teeth. Mandel says you can see the tooth fly out of his mouth in the movie.

But trooper that he is, Mandel immediately had two crowns placed to restore the damaged teeth and went back to filming. The restoration was a good one, and all was well with his smile for the next few decades.

Until, that is, he began to notice a peculiar discoloration pattern. Years of coffee drinking had stained his other natural teeth, but not the two prosthetic (“false”) crowns in the middle of his smile. The two crowns, bright as ever, stuck out prominently from the rest of his teeth, giving him a distinctive look: “I looked like Bugs Bunny,” Mandel told Dear Doctor—Dentistry & Oral Health magazine.

His dentist, though, had a solution: dental veneers. These thin wafers of porcelain are bonded to the front of teeth to mask slight imperfections like chipping, gaps or discoloration. Veneers are popular way to get an updated and more attractive smile. Each veneer is custom-shaped and color-matched to the individual tooth so that it blends seamlessly with the rest of the teeth.

One caveat, though: most veneers can look bulky if placed directly on the teeth. To accommodate this, traditional veneers require that some of the enamel be removed from your tooth so that the veneer does not add bulk when it is placed over the front-facing side of your tooth. This permanently alters the tooth and requires it have a restoration from then on.

In many instances, however, a “minimal prep” or “no-prep” veneer may be possible, where, as the names suggest, very little or even none of the tooth's surface needs to be reduced before the veneer is placed. The type of veneer that is recommended for you will depend on the condition of your enamel and the particular flaw you wish to correct.

Many dental patients opt for veneers because they can be used in a variety of cosmetic situations, including upgrades to previous dental work as Howie Mandel experienced. So if slight imperfections are putting a damper on your smile, veneers could be the answer.

If you would like more information about veneers and other cosmetic dental enhancements, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers” and “Porcelain Dental Crowns.”

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