Your Frequently Asked Questions Answered By Our Doctors

Treatment Questions

A denture is a removable replacement for missing teeth. There are two types of dentures, complete (full) and partial dentures.

Complete (Full) Dentures are made after all the teeth in the upper and/or lower jaw have been removed and the gum tissue has healed. The denture includes an acrylic base that is custom made in the dental laboratory and are made to look like natural gums, which sits over the gums or can be anchored to dental implants. The final product is a handmade, highly esthetic and functional customized product for each individual patient.

Removable Partial Dentures are made only when a few teeth need to be replaced. The removable partial denture either attaches to crowns on either side of the denture or to a metal framework that is attached to the teeth on both sides of the removable partial denture. Removable partial dentures can be supported in place by attaching them to dental implants when wearing them during the day. The final product is a handmade, highly aesthetic and functional customized product for each individual patient.

Unfortunately there are many conditions that may make a patient ineligible for an implant. Such as,

  • Ongoing periodontal disease would compromise the treatment
  • Insufficient bone density would prevent the implant integrating successfully
  • Proximity to sinus cavity might prohibit an implant as it lacks sufficient clearance
  • Use of tobacco products as they can slow the healing process
  • Chronic Illnesses, such as diabetes or leukemia may interfere with the healing process

Dr. Mitchell Gardiner or Dr. Christopher Di Turi may suggest many options after they complete a dental examination. Some options to correct a gap include,

  • Bonding (which uses a tooth colored material that we can apply to the tooth),
  • Porcelain veneers (a thin layer of porcelain applied to the front of the tooth),
  • Orthodontics (clear aligners)

If you are missing a tooth or teeth, our Shrewsbury, NJ dentists may consider a bridge, a partial denture, or implants.

Drs. Gardiner and Di Turi have been dentists for many years and truly understand the importance of fluoride. 

Fluoride benefits children as well as adults by making tooth enamel (the hard surface of the tooth) stronger, making it easier to resist tooth decay. 

Fluoride also helps rebuild (remineralize) weakened tooth enamel and reverses early signs of tooth decay.

Finally fluoride has been shown to attack dental bacteria and inhibit dental sensitivity. 

Dental amalgam, sometimes called “silver-colored” fillings, is made from a combination of metals that include mercury, silver, tin, and copper.

It has been used by dentists for more than 100 years because it extremely durable and a cost-effective alternative to composite or gold fillings.

Because of their durability, Dr. Mitchell Gardiner and Dr. Christopher Di Turi recommend these as they are the best choice for large cavities or those that occur in the back teeth where a lot of force is needed to chew. 

For more information visit: https://www.mouthhealthy.org/en/az-topics/a/amalgam

Mostly importantly, our Shrewbury New Jersey dentists would not suggest something that would be harmful to their patients.

The safety of silver (amalgam) fillings has been shown again and again by many reputable agencies.

All agree that based on extensive scientific evidence, dental amalgam is a safe and effective cavity-filling material that poses no health risk.

The Mayo Clinic, a reputable organization known for its medical expertise and knowledge hasy stated that dental amalgam is a safe and durable choice for dental fillings.

The Mayo Clinic has sought to differentiate dental amalgam mercury from the mercury [methylmercury] that is found in water and that can build up in fish and lead to health problems if you ingest too much is not the same type of mercury used in dental amalgam.

So, short answer, yes the dental amalgam (silver fillings) is safe!

Insurance Questions

We ask that you realize that we do not work for an insurance company. Rather we work 100% for our patients.

We feel that insurance can be a great benefit for many patients and want you to know we will do everything in our power to ensure you get every benefit allotted in your insurance contract.

However, the treatment we recommend and the fees we charge will always be based on your individual needs and not based on your insurance coverage.

Nearly all dental insurance plans have annual maximums, deductibles and copayments.

We are considered out-of-network with many major insurance plans. This means the insurance may or may not pay a portion of fee for dental work. For whatever the insurance does not cover, and any deductibles, is wholly the patient’s responsibility.

Although we will do our best to make sure you utilize the most of your dental insurance, we cannot guarantee that we are familiar with your particular plan. To get the information you need most insurance companies have a dedicated member phone number for you to call.

Unlike medical and vision insurance plans, dental “insurance” is really a fixed benefit plan.

If your insurance is subject to an annual maximum, that means that the insurance company will pay only up to a predetermined amount in a plan year. Once that maximum is reached, all future work becomes the patient’s financial responsibility.

Most plan cycles are calendar year but some are fiscal year (July-June).

These maximums can range from as low as $500 to greater than $4000.

All insurance companies require payments for treatment to be assigned to either the subscriber (patient) of the dental office. 

In most cases the assignment of benefits will be toward our office, if your plan permits the assignment to us. 

In some cases and dependent on the insurance policy, the patient pays for the treatment and is reimbursed by their plan.

If your insurance plan is subject to an annual deductible that means that the insurance company will defer payment responsibility to you until that deductible is met.

As we are out-of-network with all major insurance companies, whatever the insurance does not pay for becomes your co-insurance and your responsibility.

Although the dental insurance marketplace is rapidly changing every year, we are currently out-of-network and accepting assignment of benefits from the following insurance companies.

  • Aetna
  • Assurant
  • Cigna
  • Delta Dental
  • Guardian
  • Maverest
  • Metlife
  • Sunlife Financial
  • United Concordia
  • United Healthcare

Dental Conditions And General Concerns

There are many symptoms of Gum Disease such as,

  • Gums that are red, puffy or swollen, or tender
  • Gums that bleed during brushing or flossing
  • Teeth that look longer because your gums have receded
  • Gums that have separated, or pulled away, from your teeth, creating a pocket
  • Changes in the way your teeth fit together when you bite
  • Pus coming from between your teeth and gums
  • Constant bad breath or a bad taste in your mouth

There are three stages of gum disease:

Gingivitis is the earliest stage of gum disease and begins with the inflammation of the gums. Gingivitis is caused by plaque at the gum line which produces toxins (poisons) that can irritate the gum tissue. A primary indicator of gingivitis is when you notice some bleeding during brushing and flossing. Since this is the earliest stage of gum disease, damage can be improved, since the bone and connective tissue that hold the teeth in place are not yet affected.

Periodontitis is the next stage, where the supporting bone and connective tissues that hold your teeth in place are permanently damaged. Your gums may begin to pull away from your teeth and form larger pockets where food and more plaque is trapped. Proper dental treatment performed at our Shrewsbury, New Jersey dental office and improved home care can usually help prevent further damage.

Advanced Periodontitis is the last and most detrimental stage of gum disease. This is when the fibers and bone supporting your teeth are destroyed and your teeth may begin to shift or loosen. This can severely affect your bite and, if aggressive treatment can’t save them, your teeth may need to be removed.

When you book your appointment, tell the receptionist you’re nervous about dental visits so we can prepare the doctor and staff. 

Don’t be afraid to ask questions of our doctors. We would be happy to let you know what is happening to alleviate any fears of the unknown.

We may suggest on a signal, such as raising your hand, for when you get nervous or you need to take a break during an exam. 

If you need more information: https://www.mouthhealthy.org/en/az-topics/a/anxiety

We offer to our patients, nitrous oxide, sometimes called “laughing gas,” as one option to help make you more comfortable and relaxed during certain procedures. You will be able to hear and respond to any requests or directions the dentist may have.

Dr. Gardiner or Dr. Di Turi will ask you to breathe normally through your nose, and within a few short minutes you should start to feel the effects of the nitrous oxide. Ultimately, you should feel calm and comfortable. The effects of nitrous oxide wear off soon after the mask is removed.

Unfortunately bad breath, or halitosis, just happens. Studies have shown that nearly 50 percent of adults suffer from it from time to time.

There are many factors that can effect your breath. The most common culprits are:

  • Bacteria
  • Dry Mouth
  • Gum Disease
  • Food
  • Smoking and Tobacco
  • Medical Conditions

You should schedule a visit with our Shrewsbury New Jersey dentists so together when can address your issue.

Dr. Mitchell Gardiner and Dr. Christopher Di Turi strongly suggest that you schedule an appointment so they can assist you in addressing your concern.

We also recommend that you keep regularly scheduled checkups so your dentist can detect any problems such as gum disease or dry mouth and stop them before they become more serious. 

Other Dental Questions

A prosthodontist is a dentist who specializes in treating and handling dental and facial problems that involve restoring missing tooth, teeth, jaw structures and prosthetic correct of maxillofacial defects acquired from surgical ablation of cancer, traumatic injuries or congenital birth defects and alterations in growth and development.

A prosthodontist is highly trained in cosmetics, dental implants, crowns, bridges, dentures, craniofacial anatomy, temporomandibular disorders (TMJ/TMD/CMD), and more.

A prosthodontist has completed dental school plus three additional years of advanced training and education in an ADA-accredited prosthodontic post-graduate program.

Malocclusion, or a bad bite, is when the teeth in the upper and lower arch do not line up correctly. 

The reason this is not ideal is that the teeth are contacting each other incorrectly and many be causing stress fractures and unnecessary wear.

This can be corrected by using traditional orthodontic braces or clear aligner therapy.