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

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Posts for category: Dental Procedures

By Robert E. Boff, D.M.D. and Banafsheh Goujani, D.M.D.
December 13, 2018
Category: Dental Procedures
Tags: dental implants  

You've heard of dental implants, but have you ever thought of getting one to fill that gap in your smile? Millions of Americans have one or more of these realistic tooth replacements and enjoy their many benefits every single day. At Ramsey Family Dental, Drs. Robert Boff, Banafsheh Goujani, and Kenneth Gluck, all recommend dental implants for functional smiles that last.

What are dental implants?
Studied and developed in the mid-twentieth century, dental implants have come into their own over the past 30 years or so. The single implant has three parts:

  • A titanium metal screw surgically inserted into the jaw bone at the site of tooth loss
  • A metal abutment, or post, which extends above the gums
  • A custom-crafted ceramic crown

Some people also qualify for multiple implant placement to support bridgework or dentures. These multi-tooth prosthetics outperform traditional tooth replacements by lasting longer and more closely imitating natural oral function.

The implant treatment
Dental implant placement takes several appointments at Ramsey Family Dental. The first qualifies you for treatment, as your dentist examines your bone structure, gums, and remaining teeth. For superior anchorage and longevity, dental implants require a healthy jaw bone which is large and dense enough to hold onto the implant.
The next appointment at Ramsey Family Dental includes the actual dental implant placement. The dentist uses a local anesthetic to numb the area before opening the gums and creating a small hole in the bone. The device is then inserted into the bone, and the gums are closed with sutures.
The last appointment happens after many weeks of healing and osseointegration. What's osseointegration? It's the most important benefit dental implants offer. When an implant is placed, the jaw bone begins adhering to the titanium device. This incredible process makes dental implants highly successful, stable, and long-lasting. When fully integrated, the implant receives its porcelain crown.

Other benefits of dental implants
1. Dental implants last for decades, according to the American Academy of Implant Dentistry.
2. They keep bone and gums healthy and sizable.
3. They avoid the slippage and instability of conventional bridges and dentures.
4. Natural teeth surrounding implants hold their natural positions, size, and shape.
5. Care is as easy as twice daily brushing and once a day flossing. Six-month exams and check-ups are important, too.
6. Dental implants look real and perform as well as healthy natural teeth.

Find out more
Your professional team at Ramsey Family Dental will help you decide if dental implants are right for your smile. If you have lost one or more teeth to decay, accident, gum disease or other unfortunate circumstance, call us today at (201) 327-3060.

By Robert E. Boff, D.M.D. and Banafsheh Goujani, D.M.D.
November 10, 2018
Category: Dental Procedures
LasersCouldbetheFutureforGumDiseaseTreatment

We’ve developed a number of effective treatments for periodontal (gum) disease. Depending on how far and deep a patient’s infection has advanced, treatment can be quite invasive and even require surgery. The more invasive, the longer and more uncomfortable the healing process can be.

But using a medical laser could make that less so. Although its use for gum disease treatment is still in its infancy, the latest observations from the field seem to show patients undergoing laser treatment may have less tissue trauma and bleeding, less discomfort after the procedure and quicker healing times.

Gum disease is a bacterial infection mostly caused by dental plaque, a thin film of food particles that build up on teeth in the absence of effective oral hygiene. The infection can advance deep below the gum line, weakening gum attachment to teeth and destroying supporting bone. Ultimately the affected teeth can be lost.

Traditionally, the only way to stop the disease is to manually remove plaque buildup on teeth and gum surfaces, which is continuing to sustain the infection, with special hand instruments called scalers or ultrasonic equipment. Because it’s important to remove as much plaque and diseased tissue as possible, we may need to perform a surgical procedure called flap surgery to move some of the gum tissues out of the way to get to these deeper areas. As with any surgery, this can create tissue trauma that may cause discomfort during the healing process.

Our new alternative is to use an Nd:YAG medical laser in a procedure known as Laser Assisted New Attachment Procedure or LANAP. With light energy delivered through a small fiber no more than the width of three human hairs, the laser can pinpoint diseased tissue and destroy bacteria through intense heat. Because of the laser beam’s tiny width and pulsing action, healthy tissue is at less risk for trauma than with the traditional treatment.

Coupled with other techniques, LANAP procedures could remove as much infected tissue and plaque as traditional methods, but with less healthy tissue trauma. In the future, then, patients with advanced gum disease undergoing laser treatment could have less bleeding and discomfort and faster healing times.

If you would like more information on treating gum 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 “Treating Gum Disease with Lasers.”

By Robert E. Boff, D.M.D. and Banafsheh Goujani, D.M.D.
October 31, 2018
Category: Dental Procedures
ADifferentKindofChipShotforProGolferDanielleKang

While the sport of golf may not look too dangerous from the sidelines, players know it can sometimes lead to mishaps. There are accidents involving golf carts and clubs, painful muscle and back injuries, and even the threat of lightning strikes on the greens. Yet it wasn’t any of these things that caused professional golfer Danielle Kang’s broken tooth on the opening day of the LPGA Singapore tournament.

“I was eating and it broke,” explained Kang. “My dentist told me, I've chipped another one before, and he said, you don't break it at that moment. It's been broken and it just chips off.” Fortunately, the winner of the 2017 Women’s PGA championship got immediate dental treatment, and went right back on the course to play a solid round, shooting 68.

Kang’s unlucky “chip shot” is far from a rare occurrence. In fact, chipped, fractured and broken teeth are among the most common dental injuries. The cause can be crunching too hard on a piece of ice or hard candy, a sudden accident or a blow to the face, or a tooth that’s weakened by decay or repetitive stress from a habit like nail biting. Feeling a broken tooth in your mouth can cause surprise and worry—but luckily, dentists have many ways of restoring the tooth’s appearance and function.

Exactly how a broken tooth is treated depends on how much of its structure is missing, and whether the soft tissue deep inside of it has been compromised. When a fracture exposes the tooth’s soft pulp it can easily become infected, which may lead to serious problems. In this situation, a root canal or extraction will likely be needed. This involves carefully removing the infected pulp tissue and disinfecting and sealing the “canals” (hollow spaces inside the tooth) to prevent further infection. The tooth can then be restored, often with a crown (cap) to replace the entire visible part. A timely root canal procedure can often save a tooth that would otherwise need to be extracted (removed).

For less serious chips, dental veneers may be an option. Made of durable and lifelike porcelain, veneers are translucent shells that go over the front surfaces of teeth. They can cover minor to moderate chips and cracks, and even correct size and spacing irregularities and discoloration. Veneers can be custom-made in a dental laboratory from a model of your teeth, and are cemented to teeth for a long-lasting and natural-looking restoration.

Minor chips can often be remedied via dental bonding. Here, layers of tooth-colored resin are applied to the surfaces being restored. The resin is shaped to fill in the missing structure and hardened by a special light. While not as long-lasting as other restoration methods, bonding is a relatively simple and inexpensive technique that can often be completed in just one office visit.

If you have questions about restoring chipped teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Porcelain Veneers” and “Artistic Repair of Chipped Teeth With Composite Resin.”

By Robert E. Boff, D.M.D. and Banafsheh Goujani, D.M.D.
October 11, 2018
Category: Dental Procedures
Tags: dental implants  
DentalImplantscanalsoSupportOtherTraditionalRestorations

If you’re thinking about getting dental implants, you’re in good company. Dentists have placed more than 3 million of these popular devices since their introduction in the early 1980s.

But if you have multiple missing teeth, you might think the cost of all those individual implants could put them out of your league. Yes, replacing multiple teeth with individual implants can be quite expensive—but implant technology isn’t limited to one tooth at a time. A few well-placed implants can impart their proven durability and stability to other types of restorations.

For example, we can incorporate implants into a bridge for a series of missing teeth. Conventional bridges are normally fixed in place by altering and then crowning natural teeth on each side of the missing teeth gap with a fixed row of prosthetic (false) teeth in the middle to fill it. Instead, two implants placed at the ends of the gap can support the bridge rather than natural teeth. This not only provides greater stability for the bridge, it also avoids permanent altering the natural teeth that would have been used.

Implants can also support a fixed bridge to restore complete tooth loss on a jaw. The new bridge is attached to a few strategically placed implants along the jaw line to equally distribute biting forces. This can result in a strong hold with excellent durability.

We can also use implants to improve traditional dentures. Dentures normally rest directly on the gums’ bony ridges, depending on a snug fit for stability. But bone loss, a natural consequence of missing teeth, can still occur while wearing dentures, which may in fact accelerate the rate of loss due to the appliance’s constant pressure and friction against the gums.

Instead, just a few implants placed along the jaw can, with attachments built into the denture, hold it securely in place. This not only decreases the pressure on the gums, but the natural bone growth that occurs around the implant may even deter bone loss.

Depending on your situation, there could be a viable restoration solution involving implants. Visit our office for a complete examination and evaluation to see if implants could help change your smile forever.

If you would like more information on implant restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants 101: the Most Significant Innovation in the Past Century.”

By Robert E. Boff, D.M.D. and Banafsheh Goujani, D.M.D.
October 02, 2018
Category: Dental Procedures

Bright White SmileTooth-colored fillings may just be one of the most popular advances in dental technology. The fillings look just like your tooth enamel and don't draw attention to your dental work. Ramsey, NJ, dentists Drs. Robert Boff, Banafsheh Goujani and Kenneth Gluck offer tooth-colored fillings at Ramsey Family Dental.

What are tooth-colored fillings?

Tooth-colored fillings are possible thanks to the introduction of composite resin, a flexible material that's tinted to match common tooth shades. After removing the decayed portion of your tooth, your dentist fills it with composite resin, then applies a curing light that hardens the material.

What benefits do the fillings offer?

Tooth-colored fillings offer a more natural appearance and don't put your dental work on display every time you open your mouth. Although appearance is one of the most appealing aspects of the fillings, they offer a few other advantages.

If you receive a silver amalgam filling, your dentist will need to remove some healthy tooth structure in addition to the decayed portion. Making undercuts in the tooth helps secure the filling, ensuring a stronger bond. Unfortunately, those cuts also weaken the tooth slightly, which may increase the risk of a crack in the future. No undercuts are necessary with tooth-colored fillings, which helps the tooth remain stronger.

When you receive a composite resin filling, a hot cup of coffee or a cold dish of ice cream won't affect your filling. In fact, composite resin fillings never change when exposed to temperature changes.

Tooth-colored fillings are an excellent choice if you have a small to a medium cavity. They're not only attractive but very durable.

Keep your smile healthy and attractive with tooth-colored fillings! Call Ramsey, NJ, dentists Drs. Robert Boff, Banafsheh Goujani and Kenneth Gluck at (201) 327-3060 if you think you may have a cavity.