Dr Romano's Blog

“Pursuing Dental Excellence”

Dr. Sam Romano is recognized by Dr. John Kois at the 2011 Kois Center Symposium in Seattle, Washington. Dr. Romano was recognized for his creative vision which led to the publication of “Pursuing Dental Excellence” The book is written for patients to help them understand the level of commitment and dedication to excellence that graduates of the Kois Center have for dentistry. It was distributed to the 400 dentists from the U.S. Europe and Asia at the meeting last week. Please pick it up and give it a look the next time you are in the office. I’m very proud of it.

For more information on Dr. Sam Romano visit www.drsamromano.com

Symposium on bone and soft tissue grafting

Dr. Sam Romano and Dr. Mike Pikos

I Just got back from a symposium on bone and soft tissue grafting by Dr’s. Pikos, and Salama. They are world famous for their work in the area. One of the additional speakers was Dr. Eduardo Anitua from Spain. His presentation was amazing. His pioneering research will change how we do things in regard to growing bone in areas that are currently deficient. The good news is the future is now. I’m really excited to be bringing some of his techniques into the office in the next couple of months.

If not a reason to smile, a commitment to help

Madison dentist treats impoverished children in Guatemala

By SALLY CAPONE
STAFF WRITER

MADISON – There are not many experiences that are truly life-changing, but Dr. Samuel Romano says he believes he found one in the slums of a Central American country.

As part of an 18-member team, he traveled to Guatemala for one week in February to offer much-needed dental care to poor children. “I always wanted to do mission work, but I didn’t know how to go about finding the best, organization,” he said. When Dr. Gregory Keiser, a Morristown oral surgeon and board member of Healing the Children, asked Romano if he would be interested in a trip to the Central American country, he leapt at the chance. “I said, ‘I’m going – I don’t even have to think about it’,” Romano said.

‘It Shocked Me’

The trip was not an easy one emotionally, physically or financially, he said, adding that even before they left the U.S. getting through the airport was an ordeal. The team met at Newark Liberty Airport at 4a.m. on Feb. 6. “It shocked me how demanding it was,” Romano recalled of the rest of the trip.

“There was a lot of lugging,” he explained, because the team had to bring every bit of the dental supplies they would use, including gauze and sterile wipes.

In the Guatemalan city of Antigua, “All they gave us was a room to work in,” said Romano, who had to treat patients while bent over cafeteria tables covered with tablecloths procured by the team.

To improve on the meager lighting, Romano purchased a $600headlight. His total expense for the trip was $5,000, all out of pocket. After spending each night in a hotel room that was so small he couldn’t even open a suitcase, Romano and the team faced 10 hour workdays.

“When we got to the facility at 8 a.m., the lines of people waiting for us were as far as you could see,” Romano said. Because of the poor diet, lack of dental hygiene, and the large intake of “junky candy,” many of the children had rotted teeth.

“I did a lot of extractions and fillings,” said Romano, who speaks no Spanish and relied on two people on the team who spoke the language. Admitting that he’s hooked, “When you have a kid scared out of his mind, you learn how much non-verbal communication matters,” Romano noted. After handing out tooth- brushes, probably the only ones the children will ever get, a dental hygienist gave instructions in dental care. Romano worked on hundreds of children during his week in Guatemala. Experiencing such poverty first-hand has left an indelible impression.

‘How Good We Have It’

“I’ve lived in Madison all my life, and I didn’t realize how good we have it,” said Romano, who lives on West Lane. “It’s one thing to see pictures, and another to smell, feel and touch what it’s really like. Nothing is clean, and everything is covered with grit. It changes how you look at life. We waste time on trivial things, and never reflect on what’s important,” he said. After his heart-wrenching week, Romano was jarred backed to reality while on the plane trip home.

“The guy next to me on the plane was annoyed that he couldn’t get a cheeseburger,” Romano recalled.

“I realized I was back,” he said. Admitting that he’s hooked, Romano plans to go to Africa next year with the organization. Keiser, who’s been affiliated with Healing the Children for 15 years, has traveled to Colombia, Ecuador, Peru, Mexico, Cambodia and Madagascar.

“People who go on these trips have two reactions,” Keiser said. “Either they will never do it again, or they can’t wait to do it again,” he said.

Healing the Children was incorporated as a nonprofit in 1979. The Northeast chapter, based in New Milford, Conn., was created in 1985, and has since arranged treatment for more than 33,000 children in the U.S. and abroad who lack adequate access to medical services. The all-volunteer teams travel at their own expense, and in addition to dentists include surgeons, pediatricians, anesthetists, nurses surgical technicians, and specialists in plastic and reconstructive surgery, urology and cardiology.

For information, visit www.healingthechildren.org.

Dental Implants


Dental implants have revolutionized dentistry and are now enabling people who would once only had the option of dentures, now have the opportunity to have permanent fixtures in their mouth, keeping their natural smile; longer.
Dental implants replace the form and function of missing teeth. Under local anesthetic, the dentist surgically places the implant into the jawbone and then left to heal for a couple of months. During this time the implant fuses to the bone by a process known as osseointegration.

Next there is a minor surgical exposure on the top of the implant, whereby the dentist will attach the post to the implant. The function of the post is to become the support for either one tooth or a set of teeth. This is a short procedure that usually requires only local anesthesia. The last phase is the restorative phase. The dentist will take impressions and then make a prosthesis that will attach to the implants. Once completed, your mouth will be restored and you will have the smile you have always dreamed about.

Various replacement options are possible:

Dental implants can be used to replace a single tooth, so that grinding down or altering adjacent teeth is no longer necessary.
Dental implants can be used as anchors to support a fixed bridge.
Dental implants can support loose teeth by being splinted to them.
Dental implants can support replacement teeth for an entirely toothless jaw
Dental implants can provide stability for a complete denture, thereby eliminating unsightly moving and clicking associated with dentures

Drinks that Affect your Teeth

Drinks have emerged as one of the most significant sources of acid.

Drinks such as regular soda, diet soda, sports drinks, canned iced tea and lemonades can lead to extensive tooth decay and enamel destruction because of the low pH or acidity of the drinks.

Enamel is the hardest substance in the body but it is susceptible to breakdown from acids found in soda/drinks. The more acidic the drink (the lower its pH), the more rapid the enamel destruction. Tooth enamel dissolves below 5.5.

It is important to note that exposed root surfaces demineralize twice as fast as that of enamel.

Soda/drinks may contain carbonic, phosphoric, malic, citric and tartaric acids and therefore have an acidic pH. Drinks that contain artificial sweeteners still pose a significant threat because of their acidic content.

Acid (pH) Low=Bad

Water

7.00 (neutral)

Brewed Black Coffee

6.25

Brewed Black Tea

5.36

A & W Root Beer

4.80

Diet Sprite

3.34

Sprite

3.27

Diet Dew

3.27

Diet Coke

3.22

Mountain Dew

3.14

Gatorade

2.95

Canada Dry Ginger Ale

2.94

Diet Pepsi

2.94

Arizona Iced Tea

2.94

HI Punch

2.82

Coke

2.48

Pepsi

2.46

There are other areas of the body which are affected:

  • The phosphoric acid in beverages leaches calcium from bones, promoting osteoporosis.
  • The intake of excess calories from soda is contributing to the obesity/diabetes epidemic that is occurring in children/teenagers today.

The best things to drink are WATER, MILK and 100% FRUIT JUICE, with the understanding that even milk and juice have sugar that can lead to decay.

For more information please visit our website at www.drsamromano.com

Periodontal Maintenance

Periodontal diseases are infections of the gums, which gradually destroy the support of your natural teeth.

There are numerous disease entities requiring different treatment approaches. Dental plaque (biofilm) is the primary cause of gum disease in genetically susceptible individuals. Daily brushing and flossing will prevent most periodontal conditions.

Why is oral hygiene so important?

Adults over 35 lose more teeth to gum (periodontal) disease than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by good tooth brushing and flossing techniques, performed daily and regular hygiene maintenance visits.

Periodontal disease is caused by bacterial plaque. Plaque is a colorless film, which sticks to your teeth at the gum line. Plaque constantly forms on your teeth. By thorough daily brushing and flossing you can remove these germs and help prevent periodontal disease.

Periodontal diseases can be accelerated by a number of different factors. However, it is mainly caused by the bacteria found in dental plaque, a sticky colorless film that constantly forms on your teeth. If not carefully removed by daily brushing and flossing, plaque hardens into a rough, porous substance known as calculus (or tartar).

Periodontal Disease

Bacteria found in plaque produces toxins or poisons that irritate the gums, which may cause them to turn red, swell and bleed easily. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. As periodontal diseases progress, the supporting gum tissue and bone that holds teeth in place deteriorate. If left untreated, this leads to tooth loss.

Preventing Gum Disease

The best way to prevent gum disease is effective daily brushing and flossing as well as regular professional examination. Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.

Other important factors affecting the health of your gums include:

  • Smoking
  • Diabetes
  • Stress
  • Clenching and grinding teeth
  • Medication
  • Poor nutrition

For more information please visit our website at www.drsamromano.com