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Ferguson Dental Associates
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Covid-19 Vaccinations!

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Big day for several members of Ferguson Dental as they received their first dose of a Covid-19 vaccine! We are excited and grateful to participate as NJ begins vaccinating healthcare workers and first responders, and we are looking forward to the vaccine quickly becoming available to our wider community and patients!

Please know that all comprehensive clinical safety protocols will continue to ensure our patients' safety (see our website for details of our multilayered safety protocols).

Huge shout out to Frank Del Gaudio of the Essex County Department of Health, staff and volunteers of the Essex County Covid 19 vaccination program - we appreciate your efforts to provide a safe, well-organized, friendly, and vital service to our community - thank you!!!!

Local Resources for Covid-19 Vaccinations:

Understanding Oral Cancer

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Protect Yourself Against Oral Cancer - Knowledge is Power

The mouth, tongue, gums, throat, and lips are sensitive tissues that often develop lesions or sores. In most situations, these sores are not cause for concern and quickly heal. However, Oral Cancer is a genuine concern that can occur among patients of any age or gender. Being aware of the signs and risk factors, as well as scheduling routine hygiene visits on a regular basis, can assist in early diagnosis.

Understanding Oral Cancer

  • Oral cancer is divided into two categories.
    • Lesions occurring in the mouth including your lips, cheeks, teeth, gums, tongue, and the floor and roof of your mouth
    • Lesions occurring in the throat, tonsils and base of the tongue. 
  • Early detection may result in better treatment outcomes.
    • Oral cancer is fatal for approximately 10,000 people each year.
    • The 5-year survival rate of those diagnosed is approximately 60 percent.

Risks for Oral Cancer

Age, gender, and certain lifestyle habits can place you at increased risk for oral cancer, but it is important to remember that it can, and does, occur in men and women of all ages. Patients age 40 and older make up 95% of all oral cancer cases, with men having a higher incident than women. Patients age 18-39 who use tobacco, smokeless tobacco, are heavy drinkers, are exposed to toxins, or may have a previously diagnosed oral HPV infection are also at an increased risk.

Warning Signs and Symptoms

If you experience any of the symptoms below, let us know, especially if you’ve had them for two weeks or more. Also, keep in mind that aside from an obviously sore throat, the below symptoms can present themselves in the absence of pain. Look out for changes that can be detected on the lips, inside the cheeks, palate, and gum tissue surrounding your teeth and tongue.

  • Reddish or whitish patches in the mouth
  • A sore that fails to heal and bleeds easily
  • A lump or thickening on the skin lining the inside of the mouth
  • Difficulty chewing, swallowing, moving your tongue or in the way your teeth fit together when closing your mouth.
  • A persistent sore throat, feeling like something is caught in their throat, numbness, hoarseness or a change in voice.

Reducing Risk

Regular visits to the dentist increase the likelihood of early cancer detection. Currently, just over half of all those diagnosed with oral cancer survive more than five years – a statistic driven in part by late diagnosis. If you are considered “high risk,” (see list above) you should be receiving an oral exam at least every six months, if not more frequently.

  • During a comprehensive dental exam, we will check your oral cavity. This includes your lips, cheek lining, gums, the front part of your tongue, the floor of your mouth and the roof of your mouth. We also examine your throat at the soft part at the roof of your mouth, including your tonsils, the back section of your tongue and where your tongue attaches to the bottom of your mouth. Your jaw will be examined for any lumps or abnormalities.

  • If we identify a suspicious lesion, it is important to stay calm and remember that most sores and lesions in the mouth are benign. Depending on what we see, we may ask you to return to the office a week or two later to see if questionable spots are healing on their own, recommend a biopsy be taken, or refer you for additional testing. Working together we develop the best strategy for diagnosis, treatment and prevention.

Healthy Habits That May Help Reduce Your Risk

  • Avoid all tobacco products
  • Avoid or reduce your consumption of alcohol
  • Consume more fruits and vegetables
  • Avoid excessive sun exposure that can result in cancer of the lip (using lip balm with an SPF of at least 30 can be helpful)
  • Avoid exposure to environmental hazards (wood dust, formaldehyde, printing chemicals)
  • Conduct a self-exam monthly so you can catch any of the symptoms listed above. Use a small hand-held mirror so you can see the back of your mouth and tongue. Our hygienists are happy to provide instructions on this sort of home exam.
  • Consider coffee. While the jury is still out, some research suggests coffee may help protect the mouth from oral cancer.


Oral cancer is serious business. Yet, the prognosis is improved when caught early. At Ferguson Dental, our patient’s health is our top concern, and oral cancer screening is included in all comprehensive dental exams. This quick and painless screening seeks to identify abnormal changes in the mouth, and is the often your earliest line of defense in the detection of oral cancer. If we need to reexamine a suspicious lesion, that follow-up is always offered free of charge. Remember that no list is exhaustive, and to always share with each of your health care providers your concerns and strategies regarding your oral health. We understand that every patient has unique questions, please always feel free to talk with us at your visit or contact us at 973-744-3181.


Dr. Rachael Cocchia joins Ferguson Dental Associates

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We are excited to announce that Dr. Rachael Cocchia will be joining Ferguson Dental Associates as a full-time Dental Associate starting in August of 2019. Dr. Cocchia brings her extensive clinical skills, experience in the treatment and planning of complex dental restorations for both adults and pediatric patients, and a passion for the latest dental advancements and procedures to Ferguson Dental Associates.

Dr. Cocchia recently completed her post graduate Dental General Practice residency at Hackensack University Medical Center in New Jersey. During her residency, she acquired advanced training in restorative dentistry, prosthodontics, endodontics, implants, pediatric dentistry, periodontics, orthodontics, and anxiety control.

In 2018, Dr. Cocchia completed her Doctorate of Dental Medicine at Rutgers University’s School of Dental Medicine. Recognized by the Dental School faculty for her advanced clinical skills, Dr. Cocchia was selected to be a clinical tutor for students in Operative Dentistry, Fixed Prosthodontics, Complete Dentures and Dental Anatomy Labs.

Dr. Cocchia graduated Magna Cum Laude from Rutgers University in 2014 with a Bachelor of Science degree in Exercise Science and Applied Kinesiology and a minor in Nutrition. Currently, Dr. Cocchia is a Member of Gamma Pi Delta Prosthodontic Honor Society, and is an active member of the American Dental Association and New Jersey Dental Association.

After a summer wedding in Italy, Dr. Cocchia and her husband Milos will reside in Wood Ridge, NJ. Both are avid foodies and cyclists and are looking forward to exploring the restaurants and trails of Montclair and Northern, NJ.

Too Much Toothpaste?


Flouride has beneficial effects on the development of strong and healthy teeth, but you can overdo it - causing some mild enamel discoloration. We recommend the use of training toothpaste (fluoride free) for children under 3 and its use should be continued until a child can reliably demonstrate spitting out all toothpaste after brushing. It is also a good idea to monitor toothbrushing until a child is at least 6 years old and beyond if necessary. It is important to note that NJ water is not fluoridated. As a consequence, we do recommend a controlled and healthy dose of fluoride be administered through age appropriate vitamins throughout childhood. At Ferguson Dental, healthy dental habits are reviewed and encouraged at every dental hygiene visit, and we are always available to answer your individual questions and concerns!

https://www.nytimes.com/…/…/science/too-much-toothpaste.html

NYTIMES
MANY CHILDREN ARE OVERDOING IT ON THE TOOTHPASTE, C.D.C. STUDY SAYS
by Julia Jacobs


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Robin Woods visits Ferguson Dental Associates

So fun to have Robin stop by the office for a visit - thank you Robin for sharing some of your experiences at Ferguson Dental!

https://www.montclairlocal.news/…/robins-nest-teeth-drums-…/
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MONTCLAIRLOCAL.NEWS

Robin's Nest: Gleaming gums, guitars and drums - Montclair Local News

Robin Woods visits Ferguson Dental Associates and Cool Cat Music; learning about teeth, dental arts and drumming. She even got to play a tambourine.

Does Natural Teeth Whitening Work?


Recently many patients, especially college age, have asked us about the efficacy of whitening using charcoal products now available. We strongly recommend AGAINST using this method to whiten teeth. Although charcoal is abrasive enough to remove surface stain, it also is abrasive enough to permanently remove enamel. The harsh abrasives in charcoal can potentially remove the strong protective outer layer of enamel from the tooth. Once enamel is worn away it does not replenish itself, this can make teeth more sensitive to temperature, prone to decay and permanently remove enamels natural luster.

We can recommend safe effective tooth paste and whitening alternatives that are available over the counter. Please see our website for more information on the professional tooth whitening options that are available at Ferguson Dental (http://www.fergusondental.com/…/Glo%20TOOTH%20WH…/index.html), or talk to you hygienist at your next scheduled office visit.

The link below is the ADA’s review of natural teeth whitening approaches. Please always feel free to contact us with any questions you have; your healthy smile is important to us!

https://www.mouthhealthy.org/…/az…/w/natural-teeth-whitening



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MOUTHHEALTHY.ORG

Does Natural Teeth Whitening Work? - American Dental Association
Looking for a brighter smile? Find out why charcoal, oil pulling and apple cider vinegar are not safe ways to whiten your teeth.



First Visit to the Dentist - What to Expect

February is National Children's Dental Health month, and at Ferguson Dental, we always welcome children of all ages. We believe a lifetime of healthy smiles is supported by early and regular visits to the dentist.

What to expect from a first visit to the dentist


Our office is a relaxed, family-oriented environment which accommodates the anxieties and needs of young patients. Aside from the kid-friendly office that features a fish tank, colorful toys and magazines, and fun prizes, the staff is committed to making the experience fun and stress-free for each child.

A child’s first visit is focused on meeting the office staff, getting comfortable in the office environment, and having a positive experience. As our hygienist Geri Caughey explains, “It is a great feeling to be a part of a child’s first dental visit. Many children arrive fearful, but by the end of their visit they are so proud of their smile! They can’t wait to tell family members and teachers about what a great experience they had at the dentist.” Our youngest patients can expect to have a “ride in the chair”, have their “teeth counted” while Dr. Ferguson or Dr. Joseph complete a quick exam, and receive a short talk on brushing and taking care of their teeth. Following the first visit, it is suggested that parents schedule follow-up appointments every six months.

Parents can expect our staff to check their child for early signs of decay or developmental problems, as well as answer any questions they might have. Hygienists will also explain exactly how to care for young teeth through brushing and flossing. It is important to know that our hygienists and dentists are experienced with hesitant and fearful patients. Our staff is prepared and committed to patiently work with the child and family towards a positive experience. This process of trust-building may occur over several consecutive office visits.

Children are special to us, and their dental needs, from toddlers to teens, vary widely. Our goal is to foster the growth of children who are prepared to maintain healthy teeth for a lifetime. We have developed a series of age-appropriate protocols for children as they pass through the many developmental stages between their first dental visit (usually between ages two and three) and adulthood. These guidelines are flexible and can be adapted to the needs of each child.


Dr. Jessica Joseph's daughter recently visited the office for her first official dental visit!
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Help and Options for Dental Anxiety Treatment

It is not unusual for people to feel hesitant and nervous when visiting a dental office. For some people, this can lead to fear and anxiety that can cause people to avoid dental treatment and risk their general oral health. We feel strongly that all patients in our office should have the best experience possible and there are a number of ways in which we strive to make all appointments stress-free and comfortable.

1. Communication:
We find that the more information people have about conditions or treatment, the less anxious and more in control they feel. Often, a simple conversation can ease fears and reduce anxiety. Our doctors are available for consultation and are always happy to discuss your concerns and treatment. Patients can expect full explanations of planned dental treatment and will also be provided with information concerning appropriate pain relief medication and strategies.

2. Oral anti-anxiety medications:
For some patients, information is not sufficient to ease their fears. For more profound relaxation, oral medications to reduce anxiety can be given to patients prior to your appointment.

3. Nitrous oxide:
Sometimes known as laughing gas, nitrous oxide is a gas that is administered with oxygen through a small nose piece and requires you to breathe normally through your nose. The advantages of nitrous oxide are that it works rapidly and produces a feeling of relaxation and can diminish pain sensation. The effects are instantaneous, unlike oral sedatives (pills), the gas can be switched off and its effects are removed. There are no lasting side effects and you can resume all normal activities, including driving, after the procedure is completed. For patients with procedures involving the gums (scaling and root planning, deep cleanings) that feel uncomfortable, nitrous oxide can make the treatment more tolerable with or without the need for local anesthesia.

4. IV sedation:
Dr. Ferguson has successfully partnered with Dr. Glen Atlas, a board certified anesthesiology physician, to provide safe in office sedation for the last 10 years. This option is offered to patients who require extensive procedures or exhibit extreme dental phobia. In these situations, Dr. Ferguson treats patients while in-office sedation is safely administered and monitored by Dr. Atlas. Dr. Atlas is a full Anesthesiology Professor at Rutgers New Jersey Medical School and more information is available through Dr. Atlas’ website. Dr. Ferguson is also available to answer any dental anxiety or sedation questions you may have by calling the office at 973-744-3181.

The Argument for Sealants


We were pleased that a recent article in the NY Times titled "Defending Your Children's Teeth (and Dentists): The Value of Sealants" mirrored many of our sentiments about the benefits of dental sealants.

Sealants are generally placed on the molar teeth. These teeth are often characterized by deep grooves and pits that are susceptible to getting food, small particles and bacteria stuck on their surfaces. To help protect these teeth from decay, dental sealants can be placed shortly after these teeth erupt into the mouth. A dental sealant is a material that bonds to the deep grooves on teeth, leaving the chewing surface smoother and easier to keep free of food debris and plaque.

The NY Times article discussed two different types of sealant material, resin-based and glass ionomer. At Ferguson Dental Associates we use a glass ionomer sealant. We have found that these sealants are easier to place successfully on the teeth and tolerated better by many of our patients. They can be placed with less isolation, shorter setting time and penetrate into the pits and grooves well. An added benefit of the glass ionomer sealants is a lasting fluoride release that has been shown to continuously release fluoride at the site of application for up to 24 months. This means that the sealants are not just a physical barrier on the tooth, but also strengthen the tooth and make it more resistant to secondary caries. Sealants typically last 3-5 years, but if and when they do fall off, the tooth structure under the sealant is stronger because of the fluoride release. We guarantee sealants for 24 months after application. At your child's subsequent cleaning appointments we will continue to assess the integrity of sealants and reapply as necessary.

Sealants are normally placed by your child's hygienist, following a dental cleaning and exam. We strongly believe that sealants are a great preventative measure against tooth decay, and, as always, we are happy to answer your individual questions about sealants at your next office visit.

http://nyti.ms/2cVO5QA

Only Floss the Ones You Want to Keep

Our advice concerning flossing hasn't changed in 70 years... "Don't worry about flossing them all, only floss the ones you want to keep." In all seriousness, the truth about flossing is that some patients can get away with limited flossing while others need to be diligent and effective in their flossing habits to maintain oral health. Regular dental hygiene visits are important and your hygienist can give you specific advice for your unique dental health needs. We are proud to have three of the very best dental hygienists working at Ferguson Dental, Geri Caughey, Dawn Giraldi, and Lynn Kempinski.

From the New York Times
Feeling Guilty About Not Flossing? Maybe There’s No Need
http://nyti.ms/2afIYvN

Dental X-rays


http://www.nytimes.com/…/you-probably-dont-need-dental-x-ra…

This is a good article that highlights many of the issues relevant to dental x-rays. A few thoughts:

1. X-rays provide valuable diagnostic information. X-rays have always allowed dentists to identify issues such as cavities, gum disease and developmental dental problems at a point where they can be successfully treated with minimal and conservative dental treatment.

2. Radiation should be avoided in all forms, and dental x-rays must always be used only after evaluating the cost vs. benefit to the patient. All professionals should follow ALARA guidelines or As Low As Reasonably Achievable. But, it is important to have perspective when evaluating the radiation associated with dental x-rays to the typical background radiation experienced by all of us on a daily basis. A day at the beach or a flight from New York to LA will expose a person to significantly more radiation than patients will experience in a dental office.
http://www.radiologyinfo.org/en/pdf/safety-xray.pdf

3. Beyond this, Ferguson Dental is committed to providing patients with the safest, most advanced technology available. Digital dental x-rays expose patients to a 1/5th of the radiation experienced from film x-rays, and we have provided digital dental x-rays for our patients for over 20 years. Additionally, our new extra-oral x-ray machine provides us with the option of ultralow dose panoramic x-rays and ct scans. This technology provides, again, significantly lower radiation dose x-rays compared to film panoramic x-rays or medical CT scans. Using our advanced technology, we are able to see more with less radiation than conventional full mouth radiographic imaging.

4. Most importantly, we work with every patient and parent to assess individual disease risk before determining the proper interval of dental x-rays. We are committed to minimizing radiation dose while also maintaining dental health.

5. Choosing dental care based upon what dental insurance will cover is not advisable and that approach is not found at Ferguson Dental. We recommend and implement dental protocols on an individual basis given the specific needs of every patient. We are absolutely committed to your dental and overall health. Please always feel free to ask us more about any issue that concerns you!

Do we take dental insurance?

Ferguson Dental Associates operates as a fee for service practice.  We have chosen this model because we strongly believe that it allows us to provide the optimal dental care to our patients, care that we would not be able to provide given the limitations and policies of current dental insurance programs.  As a result we do not "participate" in any given dental plan.  

We do, however, work in partnership with our patients and dental insurance companies to maximize your health benefits and facilitate reimbursement for our patients.  At each office visit we are happy to assist you in this process by providing completed insurance forms and mailing them to your insurance company for you at the conclusion of your visit.  

Additional Dental Insurances Facts

1. Dental Insurance is fundamentally different from medical insurance.

2. Dental Insurance is a contractual agreement between the employer and insurance company. The percentage of reimbursement varies greatly dependent upon the premiums paid for a particular plan and the limitations of the agreement.

3. Maximum payable benefits typically are around $1000-$1500 per year. This maximum benefit of most dental insurance plans today is almost identical to the annual maximum benefit of dental insurance plans 40 years ago.

4. Dental insurance is a benefit designed to help defray the costs of quality dental care, but is not all-inclusive of what an individual may need or desire to obtain optimal dental health for a lifetime.

5. While individual plans and companies vary greatly, our patients often receive similar reimbursement using their out of network benefits at Ferguson Dental as they would at an in network dentist. It is important to learn an understand your unique plan and benefits.

Please contact us directly to discuss your individual insurance questions!