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Your Tooth is Loose

My hygienist, Kay wrote this blog that I thought I would share with you “YOUR TOOTH IS LOOSE!” Over the past 17 years that I have worked with Dr. Samuel Romano, as a Dental Hygienist, we have told patients who range in age from 2 years old to 90+ years old that they have a loose tooth. I have found that the reaction varies according to what age you are when you hear this news. For example, Children are so excited to hear they have a loose tooth. Losing a tooth between the age of six and thirteen is a natural process. The wiggling begins with thoughts of the tooth fairy and joining their peers who have lost teeth all ready. It is a fun and exciting time. However, adults feel a mix of emotions, such as, anxiety, shock, and sadness upon hearing the news of a loose tooth. As adults we expect to keep our teeth a lifetime. Our teeth are useful for speech, nourishment and who can resist a smile. There are various reasons an adult can have a loose tooth. First of all, the way your teeth fit together when you bite may cause a tooth to become mobile. Let’s face it there is more stress living and working in New Jersey than North Carolina. This stress can cause us to grind and clench our teeth which can make them loose. Secondly, if you have a traumatic injury to the tooth from a fall, a sports injury or that child who gives you an accidental headbutt the consequence could be a loose tooth. Thirdly, if you have gum disease the bone around the tooth weakens causing less support around the tooth. Again a loose tooth can be the outcome from loss of support. Lastly, a cavity left untreated may result in an infection around the tooth that could weaken the tooth. There are many reasons why we have loose teeth as adults. However, it is important to remember that there are treatments available that can tighten up those loose teeth. Check with a Dentist to see what options are best for your situation. Your smile can last a lifetime!

Press Release Newswire

Sam Romano , a Madison, NJ physician/pediatric health professional has been selected by "New Jersey Family" for NJ's Favorite Kids' Docs in the category Dentistry: General: Pediatric. MADISON, N.J., Jan. 18, 2013 /PRNewswire-USNewswire/ -- New Jersey Family, the essential source for NJ moms, has published its 4th annual list of NJ's Favorite Kids' Docs and is happy to announce that Madison's Sam Romano has been selected through its parent nomination process for the annual recognition. (Photo: http://photos.prnewswire.com/prnh/20130118/DC44918 ) New Jersey Family's 2012 listing was published in the December 2012 issue of New Jersey Family magazine and on its website njfamily.com. It includes over 475 of New Jersey's favorite pediatric doctors, dentists, speech/language therapists, and many other professionals, who work hard to keep kids healthy. Being included on the list is like having a trusted word-of-mouth referral from good friends. About Sam Romano : a short profile by and about the honoree: "I believe the foundation to a lifetime of good health starts when you are young and continues throughout your life. Your oral health is an important part of your overall well-being. Our team is dedicated to helping you achieve the highest level of wellness. We create a safe and comfortable environment where children can learn about the importance of dental care. I have dedicated the past 27 years to caring, integrity, and commitment to my patients." New Jersey Family magazine had this to say about Sam Romano 's inclusion in their annual recognition: "New Jersey is home to a huge number of excellent pediatric healthcare professionals. Being nominated for NJ's Favorite Kids' Docs means this professional stands out as truly exceptional in the eyes of a very important constituency: the parents. We thank all the parents who submitted over two thousand nominations and heart warming stories, and we owe our congratulations to John Smith . Thank you for your dedication to kids' health." To find out more or to contact Sam Romano of Madison, NJ, call 973-377-7088, or visit www.DrSamRomano.com. This press release was written by American Registry, LLC and New Jersey Family with approval by and/or contributions from Sam Romano and was distributed by PR Newswire, a subsidiary of UBM plc. New Jersey Family's passion and purpose is to be the essential source for NJ moms on everything about parenting in New Jersey. We are committed to excellence in all we do. A professional's inclusion in NJ's Favorite Kids' Docs 2012 does not imply endorsement by New Jersey Family; it is a parent-to-parent-referral resource only. Learn more at http://www.njfamily.com. American Registry, LLC, recognizes excellence in top businesses and professionals. For more information, search The Registry™ at http://www.americanregistry.com. Contact Information: Sam Romano Phone: 973-377-7088 Email Address: drsam@drsamromano.com Website: www.DrSamRomano.com PR Newswire (http://s.tt/1yEvt)

NJ Family Magazine Favorite Kids' Doc

Dr. Sam Romano has been selected as one of New Jersey Family Magazine's Favorite Kids' Docs. He is featured in the December 2012 issue. "Thanks to all my dedicated patients who nominated me."

Sedation Dentistry

There is a lot of talk these days about Sedation Dentistry. It has become a life changing experience for many. Millions of people avoid going to the dentist each year because of fear, anxiety, negative childhood experiences, or a bad gag reflex to name just a few. Sedation dentistry is an alternative to traditional dental treatment. When your body gets into the anxious mode it releases hormones and chemicals that can leave your muscles tight and tired. While sedated, your body is relaxed. Afterward, you feel refreshed and relaxed. You can get more dentistry done in one visit making it convenient and less stressful. Sedation may be a more appropriate alternative for people who are nervous or apprehensive about dental procedures or who require complicated or lengthy treatments. During sedation you will remain conscious (unlike general anesthesia) but you will be in a very relaxed state. Your vital signs are constantly monitored. When your visit is over you will feel refreshed and have little memory of the procedure. If you have avoided going to the dentist because of fear, anxiety, or a negative childhood experience, consider sedation dentistry it could be a life changing experience. For more information visit www.drsamromano.com

2012 Madison Chamber Extra Mile Award

Dr Romano received the “Extra Mile Award” last night at the Annual Chamber of Commerce Awards Dinner. We are all so proud of him. He is honored and humbled to receive this outstanding award! Dr Romano is a compassionate man who always goes that extra mile not only for his patients but for his entire team. As you can see his 84 year old mother Caroline Romano and his Aunt Rose Ferdinand are also very proud of him. These three Madisonians share in their vision to go the Extra Mile to make Madison the town that it is and always has been. Thank you Dr Romano for always going the Extra Mile! The award is given to a Madison Business or employee who is chosen by the community to receive the Extra Mile Award for outstanding customer service. Patients were able to nominate him and the nominations included some of the following comments: http://www.drsamromano.com/the-extra-mile-award/

Madison Dentist Treating Obstructive Sleep Apnea

Madison Dentist Now Screening & Treating Patients For Obstructive Sleep Apnea Madison, NJ — New Jersey dentist Dr. Samuel Romano, who’s office is located at 120 Park Avenue, is treating patients with obstructive sleep apnea. Patients now have the opportunity to be screened for this disease in the luxury of their own home. Obstructive Sleep Apnea, or “OSA” for short, is a chronic sleep disorder that is characterized by abnormal pauses during breathing. Those affected with OSA can stop breathing hundreds of times throughout the night, depending on the severity of their condition. Symptoms of OSA include: snoring, excessive daytime fatigue, morning headaches, forgetfulness, insomnia, moodiness and irritability, difficulty concentrating and gastrointestinal reflux. As the untreated sleep apnea progresses, it may lead to more serious medical conditions including: cardiovascular disease, stroke, diabetes, and heart attacks. Dr. Sam Romano can treat the overall health of his patients with the help of state of the art technology. With diagnostic testing, personal evaluation and sleep study results, Dr. Sam Romano can customize an oral appliance designed specifically for you. After your sleep study has been evaluated, Dr. Sam Romano will know the degree of your obstructive sleep apnea. Based upon your test results, if appropriate, Dr. Sam Romano then fabricates an oral appliance for patients to wear at night, to maintain optimum oxygen levels. This appliance is designed to keep the airway from collapsing. Patients are highly compliant with oral appliance therapy because of the ease of use and immediate relief it provides. The sleep study is then repeated with the use of oral appliance therapy, to demonstrate the effectiveness of the device. The resulting report gives us affirmation that the appliance in place is effectively treating the OSA. Dr. Sam Romano, DMD: “My vision is to change the way you perceive dentistry and to improve your quality of life”, Dr. Sam Romano states. “The addition of sleep apnea therapy into my practice gives me the opportunity to enhance my patients overall health, which is very important to me.” Dr. Sam Romano has been in practice for 27 years at the same location-120 Park Avenue, in Madison. Dr. Sam Romano can be reached at 973-377-7088, via his website: www.drsamromano.com or you can visit his facebook page at: www.facebook.com/drsamromano. Dr. Sam Romano is a member of the American Academy of Cosmetic Dentistry. He is also a clinical instructor at the world renowned Kois Center, a state of the art, post graduate, dental teaching facility, in Seattle, Washington. Dr. Sam Romano enjoys teaching dentists, from all over the world, advanced techniques in general, restorative, and cosmetic dentistry. He is a lifelong resident of Madison where he resides with his wife and two children. Dr. Sam Romano is an active member of his community.

STOP BANG! DON'T IGNORE THE SNORE

He Snored Last Night! No! She Snored Last Night! No Snoring Please! As the father of a third grader, I try to use some of the teachings from my son’s homework and apply them to some of our everyday life’s teachings. Here is an acrostic poem to think about: A little test you or your snoring partner can take. S (Snore) Do you snore loudly, (louder than talking or loud enough to be heard through closed doors?) T (Tired) Do you often feel tired, fatigued, or sleepy during daytime? O (Observed) Has anyone observed you stop breathing during your sleep? P (Blood Pressure) Do you have or are you being treated for high blood pressure? B (BMI) BMI more than 35 kg/m? A (Age) Age over 50 yr old? N (Neck Circumference) Neck Circumference greater than 40 Cm (16 in)? G (Gender) Gender male? High risk of Obstructive Sleep Apnea: answered yes to three or more items Low risk of Obstructive Sleep Apnea: answered yes to less than three items Snoring is not to be Ignored.

SNORE – S + IG = IGNORE Not An Option Anymore

Just about everyone snores occasionally. Even a baby or a beloved pet may snore! However snoring can affect the quantity and quality of your sleep. Poor sleep can lead to daytime fatigue, irritability, poor behavior, trouble with relationships and increased health problems. Sleep also affects your mood. People who chronically lack sleep are also more likely to become depressed. Sleep disorders deprive you of a “good night’s sleep”, chronic daytime exhaustion, and long-term cardiovascular stress. Snoring is a most common problem plaguing the world. Studies show that almost 46% of the male and 30% of the female populace in the world snore on a regular basis. The question remains as to how snoring can affect your marriage. For many it most certainly can. But before diving into that topic, let us first know what is snoring. If you snore regularly and experience these symptoms, you may have a condition called sleep apnea. It is as widespread as Asthma and Diabetes; however sleep apnea often remains undiagnosed. What is sleep apnea? Under normal conditions, the muscles that control the upper airway relax during sleep. If they relax too much, the upper airway becomes narrow and some people begin to snore. If the airway becomes to narrow, this may cause difficulties in breathing. Sometimes the airway becomes completely blocked and the person temporarily stops breathing – experiencing obstructive apnea. Apnea means without breath. This can last for 10 seconds or more. It may happen frequently or even several hundred times a night. If you have this condition, every time an apnea occurs, you struggle to breathe, placing stress on your brain and heart. Research shows that snoring and sleep apnea are associated with many serious conditions. Left untreated, they are a contributing risk factor in high blood pressure, heart disease, stroke diabetes and depression. So don’t IGNORE the symptoms if you SNORE. To learn more about snoring and sleep apnea visit www.drsamromano.com

How Vitamin D Affect your Body and Dental Health

How Vitamin D Affects your Body and Dental Health This past year one of my patients, at our Madison, NJ office, had a small basel cell removed. Being fair she has always tried to protect her skin from the sun. The advice of her surgeon was to stay out of the sun. A recent routine blood test indicated that her Vitamin D level was deficient. It was interesting that all her medical doctors told her to avoid the sun but none, until the blood test, told her about supplementing her Vitamin D intake. As a dentist, we care about our patients overall health as well as their Dental Health. Vitamin D’s health benefits have been in the news a lot lately. I took the time to understand the effects of Vitamin D on dental health. I want to share some information I have learned with all of my dental patients and more. Many people understand that Calcium helps build strong bones ands teeth. However, most probably don’t know the relationship Vitamin D has with Calcium and your dental health. So, what does Vitamin D do for the body? Vitamin D helps our bodies absorb the calcium we need for optimal bone and teeth development. Without enough Vitamin D in childhood, bone deformities can develop. If we do not get enough in our adult life it can lead to reduced bone density, osteoporosis & increased risk of bone fractures. The latest research suggests that Vitamin D plays a role in helping to prevent a variety of health conditions, including multiple sclerosis. It can also reduce the risk of breast cancer in women. So you are probably wondering, what about how it benefits your mouth? The importance of Vitamin D for your teeth is very significant and almost completely overlooked in the medical field. How often have you been told to take Vitamin D for the prevention of periodontal/gum disease and the formation of cavities? Probably not very often. Since we were kids we have heard about the importance of Calcium, but, the relationship of Vitamin D is just as important. For many of our patients, brushing regularly, flossing daily and seeing our dental hygienist twice a year hasn’t always stopped all of periodontal disease. As a dentist this is very discouraging. When patients suffer from this disease they have a weakening of the bone that anchors teeth into their socket. This leads to redness, bleeding, inflammation (also known as gingivitis), which if untreated can eventually lead to loss of teeth. Vitamin D is also important because it acts as an anti-inflammatory. It is an important stimulator of our immune system. When your immune system health is at its best, you are less likely to get bacterial infections in your gums and elsewhere. So how does it all work? Calcium is stored in bones and teeth. This stored nutrient is always in a state of movement. When the body needs more Calcium in the bloodstream due to low levels, the body extracts it from its storage in bones and teeth. When there is an abundance of Calcium in the bloodstream, it is put back into bones and teeth, thus making our skeleton very strong and resilient. Vitamin D acts as the regulator of this whole process. When Vitamin D levels are too low, no Calcium is put back into bones and teeth. Then our bones become weakened and susceptible to fractures. Low levels of Vitamin D can be a contributing factor to osteoporosis and periodontal disease. To sum it up, Calcium and Vitamin D are critical for the general health and strength of bones and teeth. With the avoidance of sun exposure many people are becoming Vitamin D deficient. In the case of my patient, once skin cancer was detected, and the recommendation to stay out of the sun was made, the importance of supplementing Vitamin D was not suggested. It is very important to make sure we get enough Vitamin D in our diet and from supplements. It is recommended to take 1,000 IU of Vitamin D daily for adults and 400 IU for children. Eating foods high in Vitamin D is also helpful. Such foods include milk, yogurt, salmon, orange juice, tuna, eggs, and cheese. If you would like more information on how Vitamin D affects your mouth or your overall health please contact me atdrsam@drsamromano.com or visit our website at www.drsamromano.com

Is Madison Really Mayberry?

For years, I’ve heard how wonderful Madison is and how people who move here compare it to Mayberry from the Andy Griffith Show. (I can still whistle the tune). Having lived and worked in town all my life, I feel uniquely qualified to weigh in on their assessment of Madison. I was onlypartly right. First of all, let me tell you a little about myself. I was born in 1959 and grew up on Bardon Street. My mother, who is 83, still lives there. I went to Central Avenue School,the Junior School, and Madison High, graduating in 1977. I went to Fairleigh Dickinson University for undergrad and UMDNJ in Newark for Dental School. I’ve lived in Madison all my life with the exception of a few years in Florham Park and a year in Chatham. Not exactly the world traveler. I started to realize that Madison was special while I was in dental school in Newark. When the doctors on staff found out I was from Madison, they would say “that’s a good town.” I never thought much about it, I was more focused on exams. After I finished school and in the early years of my career, I worked at several practices in North Jersey, both urban and suburban settings. That’s the first time I started to “get it.” You see, having never really lived or worked anywhere before, I thought every place was just like Madison. I didn’t know what I had because I didn’t know what others didn’t have. When those newbies in town become so enamored with Madison, I remember thinking, “Yea, I remember when it really was Mayberry.” As a kid, if I rode my bike in a part of town that I wasn’t supposed to be in, my mother knew about it before I got home. And there were no cell phones back in those days! (Opie’s got nothing on me.) A long time has passed since I began my career, and I have traveled extensively throughout the U.S. and even to Central America to practice dentistry. The places ranged from nice resorts to inner city hospitals and small remote villages. But for all the places I’ve been to, I realize that Dorothy in the “Wizard of Oz” had it right when she said, “there’s no place like home.” As I start my fifth decade in town, I’m happy to see the storefronts in the downtown filled with new businesses. I’m happy many of my friends and fellow business owners are still around. They have ridden out the financial storm and have kept their businesses in town. In spite of a significant slump in the housing market, homes in town still keep selling. My vision for the future of Madison is bright. I was disappointed that New Jersey Monthly didn’t include Madison in the top 100 towns in New Jersey! (What’s up with that?) I know we have a parking problem. I know about the budget. I know taxes are high. I know we have all the same problems as most other towns. I encourage those in town who have the responsibility of decision making to keep in mind the image of what Madison looked like in the past and to see what the future needs to be and make decisions that support that vision. You know, I’ve never won the lottery. I don’t have much luck in Atlantic City. I have enough losing raffle and 50/50 tickets that if I burnt them in the fireplace, I could heat the house for the month of February. But that’s OK, because I’ve been blessed to live and work in a great place: Madison. And I don’t even have to click my heels three times to get there. For more information, please visit our website at www.DrSamRomano.com Thanks for the ride, Sam Romano

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