Posts for: May, 2017


There are plenty of options today for replacing missing teeth, including dental implants. But if the teeth have been missing for some time, complications can arise that limit your restorative options.

The most consequential possibility is bone loss. Bone has a life cycle: old cells dissolve (resorb), and are then replaced by new cells, stimulated to grow by the forces applied to the teeth during chewing. But the bone won't receive this stimulation if a tooth is missing — so growth slows down, which causes the bone volume to diminish with time.

Another complication can occur involving other teeth around the open space. These teeth will naturally move or “drift” out of their normal position into the missing tooth space. As a result we may not have enough room to place a prosthetic (false) tooth.

If either or both of these complications occur, we'll need to address them before attempting a restoration. Bone loss itself could eliminate dental implants as an option because they require a certain amount of supporting bone for correct placement. Bone loss could also make correcting misaligned teeth difficult if not impossible.

It might be possible, though, to regenerate lost bone with a bone graft. The graft is placed, sometimes along with growth stimulating substances, within the diminished bone area. It then serves as a scaffold upon which new bone can form.

If the bone becomes healthy again, we can then attempt to move any drifted teeth back to where they belong. Besides braces, there's another treatment option especially popular with adults: clear aligners. These are a series of removable, clear plastic trays that, like braces, exert gradual pressure on the teeth to move them. Patients wear each individual tray for about two weeks, and then switch to the next tray in the series to continue the process.

Unlike their traditional counterparts, clear aligners can be removed for cleaning or for special occasions. More importantly, they're much less noticeable than traditional braces.

Once any problems with bone health or bite have been addressed and corrected, you'll have a fuller range of options for replacing your missing teeth. With a little extra time and effort, you'll soon be able to regain a smile you'll be proud to display.

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

By Peter Brusco DMD
May 17, 2017
Category: Dental Procedures
Tags: cosmetic dentistry   veneers  

How veneers from Kinnelon can enhance your smileveneers

Are you embarrassed to smile because of broken teeth? Does your smile make you look older? If you answered yes to these questions, you deserve to investigate the most versatile cosmetic dental treatment available, dental veneers! Dr. Peter Brusco in Kinnelon, NJ, wants to help you discover how veneers can renew your smile.

There are many reasons your smile may not be as beautiful as you remember. One of the main culprits is aging, which can cause your teeth to look yellow and dull. Bad habits like biting your fingernails, chewing ice or opening packages with your teeth can also cause damage. If you use tobacco products or drink coffee, you know how stained your teeth can get.

There is one cosmetic procedure that can handle it all! Porcelain veneers can fix many dental issues, renewing and rejuvenating your smile. Veneers are the perfect choice for teeth that are:

  • Broken or damaged from trauma
  • Chipped or worn down from aging
  • Cracked or badly-shaped due to genetics
  • Spaced apart or overlapped due to genetics
  • Stained or discolored from lifestyle or medications

Porcelain veneers are thin sheaths of sparkling, natural-looking porcelain which reflects light, just like your natural teeth. Your veneers from Dr. Brusco will usually take between two and three appointments, including a consultation appointment, tooth preparation appointment and permanent cementation appointment.

When you choose porcelain veneers, you can count on:

  • A naturally-beautiful smile, because veneers look just like your existing teeth
  • A permanently beautiful smile, because veneers resist stains making them a perfect choice for smokers and coffee drinkers
  • A conservative treatment, because very little tooth surface is removed, just enough to accommodate the thickness of the veneers

You can have a renewed, rejuvenated smile more quickly than you ever thought possible. If you have a special event coming up like a wedding, class reunion or even an important job interview, consider porcelain veneers. A great smile makes an outstanding first impression!

Isn’t it time to start renewing your smile with porcelain veneers? Your new smile is just a phone call away from Dr. Brusco in Kinnelon, NJ. Find out more about porcelain veneers and additional cosmetic services by calling today!

By Peter Brusco DMD
May 08, 2017
Category: Oral Health

Are bleeding gums something you should be concerned about? Dear Doctor magazine recently posed that question to Dr. Travis Stork, an emergency room physician and host of the syndicated TV show The Doctors. He answered with two questions of his own: “If you started bleeding from your eyeball, would you seek medical attention?” Needless to say, most everyone would. “So,” he asked, “why is it that when we bleed all the time when we floss that we think it’s no big deal?” As it turns out, that’s an excellent question — and one that’s often misunderstood.

First of all, let’s clarify what we mean by “bleeding all the time.” As many as 90 percent of people occasionally experience bleeding gums when they clean their teeth — particularly if they don’t do it often, or are just starting a flossing routine. But if your gums bleed regularly when you brush or floss, it almost certainly means there’s a problem. Many think bleeding gums is a sign they are brushing too hard; this is possible, but unlikely. It’s much more probable that irritated and bleeding gums are a sign of periodontal (gum) disease.

How common is this malady? According to the U.S. Centers for Disease Control, nearly half of all  Americans over age 30 have mild, moderate or severe gum disease — and that number increases to 70.1 percent for those over 65! Periodontal disease can occur when a bacteria-rich biofilm in the mouth (also called plaque) is allowed to build up on tooth and gum surfaces. Plaque causes the gums to become inflamed, as the immune system responds to the bacteria. Eventually, this can cause gum tissue to pull away from the teeth, forming bacteria-filled “pockets” under the gum surface. If left untreated, it can lead to more serious infection, and even tooth loss.

What should you do if your gums bleed regularly when brushing or flossing? The first step is to come in for a thorough examination. In combination with a regular oral exam (and possibly x-rays or other diagnostic tests), a simple (and painless) instrument called a periodontal probe can be used to determine how far any periodontal disease may have progressed. Armed with this information, we can determine the most effective way to fight the battle against gum disease.

Above all, don’t wait too long to come in for an exam! As Dr. Stork notes, bleeding gums are “a sign that things aren’t quite right.”  If you would like more information about bleeding gums, please contact us or schedule an appointment. You can read more in the Dear Doctor magazine article “Bleeding Gums.” You can read the entire interview with Dr. Travis Stork in Dear Doctor magazine.

Kinnelon, NJ Dentist
Peter Brusco DMD
170 Kinnelon Rd # 29A
Kinnelon, NJ 07405
(973) 838-5862
Dental Tooth Call for Pricing Options