prosthodontist Princeton NJ

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 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 your dentist. 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, our dentist can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our 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 your dentist 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.

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 our office 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 at our 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.

Taking care of your oral health involves a daily regimen of brushing, flossing, and rinsing to prevent tooth decay and bacterial infections. Though you may have asked us which toothbrush to use, few patients ask about mouthwash.
However, different mouthwashes you might choose will have varying effects on your oral health. So which type is best for you?
Gum Health
Antiseptic mouthwashes are designed to reduce the majority of bacteria on and near the gum line. Using an antiseptic mouthwash can help decrease your chances of developing gingivitis. If possible, look for a mouthwash with antibacterial or antimicrobial ingredients.
Fluoride
Fluoride is beneficial for oral health and can help prevent tooth decay. If you drink a lot of bottled water without fluoride, we may recommend that you purchase a rinse with fluoride in it.
Bad Breath
Although mouthwash is designed to prevent bacterial build-up within the mouth, many people use it to combat bad breath. Most mouthwashes will help eliminate the bacteria that cause bad breath, and some are specifically designed to do so.
However, if bad breath is a chronic problem that requires daily treatment with a mouth rinse, contact our office to discuss your symptoms.
American Dental Association Approval
The ADA reviews mouth rinses for safety and effectiveness. A mouthwash with the ADA Seal of Approval will meet strict criteria, and will have scientific evidence or clinical studies that support the claims of the manufacturer. If possible, select a mouthwash that bears the ADA Seal of Approval to ensure you are using a quality rinse.
Considerations
If you are unsure as to which mouthwash is right for you, contact our office or ask our dentist or dental hygienist at your next appointment. Also, be sure to keep mouthwash out of the reach of children, as it contains alcohol and other substances that could be harmful to them. Avoid letting children under age six use a mouth rinse, and discontinue use if you experience a burning sensation in the soft tissues of your mouth.

Concerned parents often ask their dentist about which kinds of snacks are best for a child's teeth. While most know that candy isn't always the best choice, many parents are confused about which kinds of after-school snacks can actually be beneficial for teeth. Left to their own devices, children might pick the sugary snack that comes in colorful packaging.

There are, however, choices that are much better for your child's teeth.



Go Natural

 The foods that are best for your children's teeth are also the best for their overall health. Choosing whole foods, such as fruits and vegetables, is always the best option for snacks. Try sticks of celery and let your kids dip it into all-natural peanut butter, or a juicy and crunchy apple cut into wedges.


Lean Proteins

Lean protein, such as chicken breast, fish, turkey, and lean cuts of pork also make good snacking options. For the best overall health, avoid giving your child a lot of lunch meats, because such products are often higher in sodium. However, these proteins are also low in sugar, which is always a preferable choice when it comes to teeth.

Avoid Packaged Foods 

Sugars are unhealthy partly because they stick more readily to the surface of the teeth. Even foods that appear to be healthy, such as many brands of granola bars, can in fact be loaded with hidden sugars. Sugar can also be found in higher concentrations in dried fruit, honey, and syrups. The rule is that if a foodstuff has been altered in any way from its original state then there are perhaps better choices.

Beverages 

Drinks are another murky area. Parents often presume that fruit juices are an acceptable beverage when in reality many of them are loaded with excessive sugar as well. The best beverages for your child's teeth are water and low-fat milk. Milk has the added benefit of containing calcium, which is highly beneficial for the bone structure that supports the teeth.

An apple a day might keep the doctor away, but it is also a great snack to keep teeth healthy. The next time your children are looking for an after-school snack, guide them toward healthier, low-sugar options that are beneficial to their overall health and their teeth.

Now that fall has arrived, your family may be busy keeping up with the fall sports season. Our team understands the importance of your child staying active and having fun. Since we want to help keep your family safe, we wanted to talk about mouth guards - what they are, when to use them, the whole nine yards! Of course, if you have any additional questions, don’t hesitate to give us a call. We'd love to hear from you!
Q: What are athletic mouth protectors?
A: Athletic mouth protectors, or mouth guards, are made of soft plastic. They are adapted to fit comfortably to the shape of the upper teeth.
Q: Why are mouth guards important?
A: Mouth guards hold top priority as sports equipment. They protect not just the teeth, but the lips, cheeks, and tongue. They help protect children from such head and neck injuries as concussions and jaw fractures. Increasingly, organized sports are requiring mouth guards to prevent injury to their athletes. Research shows that most oral injuries occur when athletes are not wearing mouth protection.
Q: When should my child wear a mouth guard?
A: Whenever he or she is in an activity with a risk of falls or of head contact with other players or equipment. This includes football, baseball, basketball, soccer, hockey, skateboarding, even gymnastics. We usually think of football and hockey as the most dangerous to the teeth, but nearly half of sports-related mouth injuries occur in basketball and baseball.
Q: How do I choose a mouth guard for my child?
A: Any mouth guard works better than no mouth guard. So, choose a mouth guard that your child can wear comfortably. If a mouth guard feels bulky or interferes with speech, it will be left in the locker room.
You can select from several options in mouth guards. First, preformed or "boil-to-fit" mouth guards are found in sports stores. Different types and brands vary in terms of comfort, protection, and cost. Second, customized mouth guards are provided through your pediatric dentist. They cost a bit more but are more comfortable and more effective in preventing injuries. Give us a call, we can advise you on what type of mouth guard is best for your child.

Many 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, tooth decay results. 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.

We all experience bad breath every now and then. Usually it’s a minor inconvenience resolved with a thorough brushing. There are times, however, when bad breath becomes a recurring condition that can be a major source of embarrassment. Fortunately, mouth odor is preventable. By familiarizing yourself with the causes of bad breath, you’ll be able to take action and keep it in check.
Brushing and Flossing Habits: Proper care of your teeth and gums will go a long way toward maintaining fresh breath. The American Dental Association recommends brushing twice each day with a fluoride toothpaste. Don’t forget to brush your tongue; bacteria can gather there as well. To remove odor-causing food particles from between your teeth, be sure to floss once per day.
Diet: The phrase “you are what you eat” is especially true when it comes to mouth odor. Researchers at New York University list strong-smelling foods such as pastrami, garlic, and onions as common culprits of bad breath. If you’re dieting, you may notice that your breath is worse between meals. Infrequent eating results in lower saliva production, which can cause bacteria buildup in the mouth. Eating meals at regular intervals can help reduce this accumulation.
Dry Mouth: The American Dental Association attributes a condition called xerostomia, better known as dry mouth, to bad breath. Dry mouth is exactly what it sounds like: a decreased amount of saliva resulting from continuous mouth breathing, salivary gland problems, or certain medications. The lack of beneficial saliva can lead to a buildup of odor-causing particles in the mouth. To combat dry mouth, be sure to stay hydrated or try sucking on a sugar-free candy.
Tobacco Use: Yet another entry on the long list of reasons to kick the habit, tobacco products can also contribute to bad breath. The experts at Ohio State University’s Wexner Medical Center attribute tobacco use to a wide range of problems with the teeth and gums. In addition to mouth odor, potential problems include periodontal disease, loss of taste, gum irritation, and oral cancer.
Medical Conditions: Bad breath can be a warning sign or symptom of another underlying health issue. According to the Wexner Medical Center, mouth odor can indicate a respiratory infection, diabetes, a gastrointestinal disorder, or issues with the liver and kidneys. Symptoms vary from person to person, so if you suspect that your bad breath might be stemming from a larger problem, make an appointment with your doctor to address your concerns.
Additional Prevention: Scheduling regular dental checkups will help keep plaque buildup and gum disease from developing. Contact our office about any oral health issues you may be experiencing. We can provide professional recommendations tailored to your situation that will help keep your mouth as fresh and clean as it can be.

If you have noticed that your teeth are starting to feel more sensitive than usual, you might initially avoid foods and drinks that seem to cause discomfort. For example, you feel some dental pain when you drink a hot cup of coffee in the morning or while chewing on a cold apple. While it’s a normal reaction to avoid foods or drinks that lead to pain or discomfort, it’s better to determine the cause of the problem and take steps to improve the health and quality of your teeth.
Causes of Tooth Sensitivity
- If only a single tooth is sensitive, it could be caused by a cavity. In other cases, the tooth might be cracked. These situations require care from a trained dental professional. You may need to get a filling, a new crown, or a root canal to reduce the tooth sensitivity.
- If many or all of your teeth are sensitive, you may have recently begun consuming larger amounts of foods or drinks that are high in acid. The acid dissolves the protective enamel of your teeth, exposing the dentin. The tooth’s dentin is sensitive to heat and cold as well as sticky or acidic foods that can trigger pain.
- Teeth whitening treatments can also cause tooth sensitivity.
- Increased stress in your life also can indirectly lead to tooth sensitivity. High stress can cause you to grind your teeth while you sleep. If you suffer from teeth grinding, also known as bruxism, one treatment option may be a special night guard appliance to wear while you sleep.
- Weather changes are another factor to consider. If it starts getting cold suddenly, the cool air you breathe in may trigger teeth pain, especially when enamel has been eroded from your teeth.
Reducing Tooth Sensitivity
- Avoid consuming foods and drinks that are high in acid. For example, citrus fruits and their juices can wear down your teeth’s enamel over time. Taper down your consumption to minimize teeth erosion. Try using a straw when drinking acidic juices in order to minimize their contact with your teeth. Rinse your mouth with water after consuming acidic foods and drinks.
- Start brushing your teeth with the softest available toothbrush. Use gentle motions to brush your teeth to minimize abrading their surfaces.
- You may be interested in switching to a new toothpaste to help you with the discomfort. Select a toothpaste formulated for sensitive teeth. You can find a variety of brands at your local pharmacy or supermarket. Follow the manufacturer’s instructions, particularly paying attention to how long you can use the product. If your teeth are still sensitive after using the special toothpaste, you should contact our office so we can rule out a more serious underlying problem.

One word nobody wants to hear when they visit the dentist is Cavity! That’s right, the dreaded cavity; but what exactly is a cavity and how do you get one? A cavity is a hole that develops in a tooth when the tooth begins to decay. It’s important to get a cavity filled as soon as it’s detected so that it does not grow bigger.

So, what causes a cavity? A cavity is caused by plaque, a sticky substance that forms on the tooth as a result of germ and bacteria build-up. Plaque is acidic and as it clings to your teeth the acids eat away the outside of the tooth (also called the enamel) and a hole is formed.

Yes, cavities can be repaired by your dentist, but here are a few simple steps you can take to prevent cavities:

• Brush your teeth with fluoride toothpaste at least twice daily
• Gently brush your gums to keep them healthy (when choosing a toothbrush it is recommended to use soft bristles)
• Floss your teeth at least once a day to remove plaque and food that may be caught between the teeth where your toothbrush can’t reach
• Limit the amount of soda and sugary treats you eat/drink
• Be sure to visit your dentist every six months for a teeth cleaning and check-up

Bad breath, also called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. You may not even be aware of your own bad breath, so if you’re concerned you may be suffering from it, talk to our team. We can help identify the cause and, if it’s due to an oral condition, develop a treatment plan to treat it.
There are many reasons for bad breath:
• What you eat can also affect the way your breath smells. Certain foods, such as garlic and onions, can have a very strong and lasting odor.
• If you don't brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath, not to mention tooth decay and gingivitis.
• Bad breath can be caused by dry mouth (xerostomia), which occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor.
• Tobacco products cause bad breath. If you use tobacco, ask us for tips on kicking the habit.
• Bad breath may be the sign of a medical disorder, such as a local infection in the respiratory tract, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment. If this is the case, you may be referred to your family doctor or a specialist to determine the cause.
The good news is there are many ways to help eliminate bad breath from your life. Maintaining good oral health is essential to reducing bad breath, so schedule regular dental visits with our office for a professional cleaning and checkup. Brush twice a day with fluoride toothpaste to remove food debris and plaque, and don’t forget to brush your tongue, too!

Dental X-rays are an essential and invaluable tool to help assist us in evaluating your oral health. With X-rays, we can see what’s happening beneath the surface of your teeth and gums and identify oral health issues otherwise hidden during a visual exam, including:
·         small areas of decay between the teeth or below existing restorations (fillings)
·         infections in the bone
·         periodontal (gum) disease
·         abscesses or cysts
·         developmental abnormalities
·         types of tumors
If left untreated, these problems can lead to expensive, time-consuming, and painful conditions, so it’s important to find and treat them early.
Dental X-rays are extremely safe, and our team is certified in the proper use of our digital X-ray equipment. The amount of radiation that you are exposed to from dental X-rays is very small compared to your daily exposure from things like atmospheric radiation and naturally-occurring radioactive elements, as well as medical X-rays you may have gotten at your doctor’s office or hospital. In fact our digital system dramatically decreases the already minimal amount of exposure even further.  We try to be as conservative as possible when prescribing x-rays but do need them to see what is going on where our eyes can't see. 

Monday, Feb. 20 marks Presidents’ Day, a day known for celebrating of both George Washington’s and Abraham Lincoln’s combined Birthdays. Presidents’ Day was created in 1971, when President Richard Nixon combined the birthdays of two of our most well-known presidents into one single federal holiday. Presidents' Day also marks a hard-earned day off from work and school for a lot of our patients at Princeton Restorative and Implant Dentistry.
Here are a few fun facts about our nation’s presidents:
*Abraham Lincoln, our 16th president, carried letters, bills and notes in his tall stovepipe hat.
*George Washington is the first president to be featured on a postage stamp.
*Ronald Reagan, our 40th president, broke the so-called "20-year curse," in which every president elected in a year ending in zero died in office.
*Abraham Lincoln was the tallest of the U.S. presidents, measuring 6’ 4” tall.
*Virginia is the birthplace of more United States presidents than any other state, followed by Ohio and Massachusetts.
*Harry S. Truman was the first president to have his Inauguration and speeches televised.

With February being National Children's Dental Health Month, our team at Princeton Restorative and Implant Dentistry thought we'd share a few good oral hygiene tips with our patients, courtesy of the American Dental Association, or ADA.
• Teeth brushing techniques: It takes only two minutes to properly brush, using short, gentle strokes and devoting extra attention to the gumline, areas around fillings and hard-to-reach areas such as the back teeth.
• Flossing: hold the floss snugly between thumbs and index finger and place between each of the teeth, making sure to go beneath the gumline and curving the floss around the base of each tooth.
• Snack wisely: choose healthy snacks such as vegetables, fruits and cheese and avoid sticky, chewy candies that can stick to the teeth. If you eat these snacks, make sure to brush after doing so.
• Carbonated or sugary drinks: these beverages create acids that can damage the teeth when mixed with saliva, so they should be avoided altogether. When drinking one of these beverages, avoid sipping on it throughout the day. Rather, have a drink and then brush your teeth.
• Regular dental visits: You should visit us regularly (approximately every six months).
National Children's Dental Health Month, now in its 62nd year, aims to increase awareness about the importance of kids' oral health. If you have any questions about keeping your mouth healthy, or about your treatment with Princeton Restorative and Implant Dentistry, please feel free to give us a call!

Did you know February is American Heart Month? It’s a great time to take notice of the health of your heart, says Dr. Stephen Hudis. Cardiovascular disease remains American's number one killer, according to the American Heart Association. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care.
Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. And because people with dental insurance are more likely to visit their dentist when they should, a healthy mouth begins with a visit to Princeton Restorative and Implant Dentistry. In observance of Heart Month, Dr. Hudis says it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25). If you have any questions about heart health, or about your treatment at Princeton Restorative and Implant Dentistry, please give us a call today.

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Dr. Stephen Hudis wants to know: Is dairy a major part of your diet? If not, it should be! A study from the American Academy of Periodontology (AAP) found that regular consumption of dairy products, such as milk, cheese and yogurt, can actually lower your chances of contracting periodontal disease (also known as gum disease). Results of the study also showed that adults who consume at least 55 grams of lactic acid a day are less at risk for gum disease.
Cheese is one of the healthiest snacks for your child's teeth. In addition to providing large amounts of much-needed calcium, cheese also does its part to fight cavities. Cheddar, Swiss, Mozzarella, and Monterey Jack all stimulate the body's salivary glands to clear the mouth of debris and protect them from acids that weaken them, according to the American Academy of Pediatric Dentistry. This means cheese disrupts the development of cavities, especially when eaten as a snack or at the end of a meal. Calcium and phosphorous found in cheese reduce or prevent decreases in the plaque's ph level and work to re-mineralize the enamel of your child's teeth.
Gum disease is caused by a bacterial infection in the mouth that affects the gums and jaw. Gum disease results in a loss of teeth and bone, and has been connected to certain cases of heart disease, stroke, diabetes, respiratory disease and osteoporosis.
Eating dairy is not just healthy for building strong bones, but is essential for maintaining a strong, healthy mouth. Next time you reach for a quick snack, choose some cheese, or a glass of milk, and remember with each bite, and every sip you are preserving your teeth for a lifetime of smiles and good oral health!
For more information about which dairy foods are best for keeping your teeth healthy, please give us a call.

At Princeton Restorative and Implant Dentistry, we know image is everything. For many people, the thought of having metal brackets and wires attached to their teeth for two or more years may be more than enough to delay orthodontic treatment.
If you’ve been considering straightening your teeth but are apprehensive about metal wires and brackets getting in the way of your smile, Invisalign treatment at Princeton Restorative and Implant Dentistry may be a great solution. Invisalign, which straightens teeth through a series of clear, custom-fit removable aligners, does so in a way that is discreet and hardly noticeable.
If you have questions about Invisalign, or would like to find out if you are a candidate for Invisalign treatment at our office, please give us a call to schedule a consultation with Dr. Stephen Hudis.

Cold and flu season is here - Centers for Disease Control and Prevention says that a common cold usually includes sneezing, runny nose, sore throat and coughing. Symptoms can last for up to two weeks.
To promote a healthy and clean environment, Dr. Stephen Hudis and our entire staff give a great deal of attention to sanitation and sterilization in our Princeton, NJ office at all times, as well as following all requirements for sterilizing instruments and work surfaces. For the protection of other patients and our staff at Princeton Restorative & Implant Dentistry, we always ask that patients reschedule their appointments if they have any type of cold or illness that can infect others.
And remember to constantly wash your hands and avoid contact with those who are ill! Stay healthy!