Dr. Sam Romano

Dr. Sam Romano appointed to Teaching Staff at Beth Israel Hospital

Dentist Dr. Sam Romano of Madison was appointed this spring to the teaching staff at Newark Beth Israel Medical Center at 201 Lyons Ave. in Newark, the largest hospital in New Jersey.

Newark Beth Israel Medical Center’s General Practice Residency in Dentistry is an educational program designed to provide clinical, didactic and hospital experience at the postdoctoral level. The Department of Dentistry offers a Commission on Dental Accreditation accredited General Practice Residency Program in General Dentistry which has completed more than 80 years of service to the public and to the education of recent dental graduates.

Dr. Romano called the educational program “a unique combination of a large group of dedicated dentists and an institution with a civic responsibility that has developed into one of the most successful hospital-based Dental Programs in the United States.”

Personal Care

Dr. Romano, whose practice is located at 120 Park Ave. in Madison, noted that “throughout my 35 years of devotion to dentistry, I have built a lifetime of relationships with my patients. These connections are fostered through a compassionate approach and demonstrated care for each and every one of my patients.”

He added that his office is “a state-of-the-art facility where my mission of providing exceptional dental care is shared by my staff through clear communication and clinical excellence.” Dr. Romano is also a clinical instructor at the world-renowned Kois Center is Seattle, Wash., which provides advanced graduate-level training to practicing dentists.

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Just One Hour?

A cleaning is what you do at home everyday and how well you do it is very important.  At your hygiene visit, we are clinically treating the mouth for things that no amount of homecare can replace.  Wear and tear is inevitable and at your clinical hygiene visits we work with one tooth at a time to help prevent any issues from arising in the future. A hygiene visit includes a caries screening, periodontal disease screening, oral cancer screening, and potentially screenings for sleep disorders, acid reflux, diabetes, joint tenderness, Invisalign and high blood pressure as well.  Each patient is reserved an hour of one-on-one time with a hygienist and Dr. Romano.   We understand our patients’ time is valuable, but we would appreciate our patients planning on being at the office for a full hour so their visit can be performed properly.

It is important to understand what is happening in that 1 hour appointment that has been reserved for you.  Actually, having your “teeth cleaned” is a highly individualized process. Dental hygienists are educated and trained health care professionals who operate under strict state licensing for your general health as well as your oral health.

Each visit begins by reviewing your health history to identify issues that may necessitate special precautions during dental hygiene care to ensure your safety and to prevent medical emergencies. For example, blood pressure monitoring may identify a risk for general health; patients with a history of heart disease may be at particular risk for dental cleaning; diet history for both your general and oral health may be discussed to name but a few issues. These assessments are important since dental hygiene care may impact upon existing health conditions, and vice versa.

The hygienist carefully assesses the skin in and around your mouth looking for lumps, bumps, sores, tenderness or swellings and refers all areas of concern to the dentist for further evaluation. This is, among other things, a cancer screening. The hygienist is one of the few people who get to closely assess your whole mouth, so they are trained to spot this deadly disease and others.

Periodontal health will also be evaluated during a routine cleaning. “Peri” means “around” and “dont” means “tooth,” so you can expect that the areas around your teeth including gum tissues will be checked for signs of inflammation and bleeding (gingivitis). The hygienist will gently measure the space between the teeth and the gums with a tiny probe; Detachment or “pocketing” may indicate periodontal disease; severe periodontal disease is associated with bone loss around the teeth. In health, the space between the teeth and gums measures 3 mm or less. “Pockets” that bleed during probing and/or that measure 4-5 mm deep, indicate gum infection and usually can be reversed with daily oral self-care at home and thorough cleaning. Pockets that measure 6 mm or greater, however, indicate a more severe gum problem that includes bone loss and may require more advanced or specialized treatment by your dentist or a Periodontist, who specializes in gum care.

The hygienist will also monitor teeth for signs of decay and associated risk factors, as well as the amount and location of deposits and stains on your teeth. The amount of stain and hard deposits on your teeth (“tartar” or also called “calculus”), and the degree of gum disease, all impact upon the level and cost of the treatment, and determine how soon you should return. Most adult patients are put on a 3, 4 or 6 month hygiene maintenance recare.

The education and demonstration portions of the visit are also individualized. Risk factors for tooth decay and gum disease may be discussed. Feedback on the effectiveness of your oral hygiene will allow for suggestions and demonstration of oral hygiene aids tailored to your individual needs; and for the provision of topical treatments such as fluoride to reduce sensitivity and promote strengthening of teeth against decay.

Dental hygiene is not a “one size fits all” cleaning.

All of the dental hygiene care you receive is tailored specifically to your individual needs and safety, and is provided within the context of the Occupational Safety and Health Administration (OSHA) guidelines to eliminate the potential for disease transmission.

As you can see, much more is going on at a “simple dental cleaning” than an attractive polishing. Oral health is a gateway to general health, and your hygienist is the guardian.

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To floss or not to floss?

Hopefully every six months, you visit the dentist for a cleaning and probably hear the words “floss more” The problem is patients don’t think flossing does anything. There is no instant gratification with flossing — that’s the problem.

But flossing does about 40% of the work required to remove sticky bacteria, or plaque, from your teeth. Plaque generates acid, which can cause cavities, irritate the gums, and leads to gum disease. Each tooth has 5 surfaces. If you eliminate flossing then you are leaving 2 of the surfaces unclean. Floss is the only thing that can get into the space between the teeth to remove the bacteria.
To learn more about prevention visit:

What is Periodontal Charting?

What is periodontal charting?
Why does the Hygienist call out numbers like 2, 3, 3, 4, 6, and 2 when you’re in for a checkup visit? Does this mean something?
Yes! These numbers do mean something. The numbers that the hygienist calls out coincide with periodontal pocket depth, a way to measure gum tissue health. It is also called periodontal charting.
Periodontal charting measures where the tissue and the tooth attach. The reason for this is to determine how healthy the gum tissue is around the entire tooth.
A very healthy tooth is 2-3 mm which means that the bone is at a normal and safe level. This indicates you have low periodontal risk. For patients in this risk group, 6-month continuing care visits work great.
Areas that are deeper than 3mm means that you may be at risk for periodontal disease and your cleanings may require a little extra TLC. The periodontal charting is for dental hygienists to keep an accurate record of the depths of your pockets and the health of your gum tissue over time.
The best way to prevent gum disease is effective daily brushing and flossing as well as regular professional examinations. Unfortunately, even with the most diligent home dental care, people can still develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.
For more information on periodontal disease visit https://www.drsamromano.com/services/gum-periodontal-disease/

Weird Dental Facts

A Canadian man proposed to his girlfriend with a ring made from his wisdom tooth.

A toothbrush may be all that she needs  to clean her engagement ring, because in lieu of a diamond, her engagement ring featured her husband-to-be’s tooth.

Some girls who feel a diamond is a girl’s best friend might say this ring bites.

Dr. Sam Romano earns FAGD

Dr. Sam Romano of 120 Park Ave, Madison has been a local Madison dentist for 30 years has earned his FAGD. Less than 5 percent of general dentists in the U.S. and Canada obtain their FAGD.

These awards mean that your general dentist cares about long-term dental health for you and your family and demonstrates that concern by pursuing additional designations. The Fellowship (FAGD) and Mastership ( MAGD) Awards are two of the most rigorous continuing dental education programs today. They help your dentist stay up to date on the most current dental procedures in order to offer you the highest quality of care.

FAGD: A general dentist who is a “Fellow” in the Academy of General Dentistry (FAGD) has been recognized by other general dentists as a leader and exemplifies to other dentists the importance of quality continuing dental education. To earn the FAGD, a dentist must complete a minimum of 500 continuing dental education credit hours, pass a comprehensive exam and have been an AGD member for three continuous years.

Dr. Sam Romano is a native of Madison, New Jersey. He graduated from Fairleigh Dickinson University in Madison as an undergraduate in 1981 with a BS in Biology. Dr. Romano received his dental degree from the University of Medicine and Dentistry in Newark, NJ in 1985. Dr. Romano opened his dental practice at 120 Park Ave in Madison in 1986 and has been serving his community ever since.

Dr. Sam Romano remains committed to life long learning and teaching dentistry. He attends countless hours of continuing education courses all over the country, which exceeds the requirements of the AGD. Dr. Romano has studied at many of the most famous centers for continuing dental education, and with some of the most respected educators in the field. After graduation from the University of Medicine and Dentistry in Newark, NJ, Dr Romano continued his education at The Pankey Institute, with Dr. Peter Dawson. He trained with Dr. Carl Misch, a leader in the field of Dental Implants. Dr. Romano is also a Clinical Instructor at the prestigious Kois Center for Dental Excellence in Seattle, Washington. As a Clinical Instructor, he helps facilitate intensive three day workshops on topics that help dentists understand how to provide comprehensive esthetic dentistry in a manner that increases predictability and longevity of treatment, while reducing the patients risk for requiring additional dental treatment. Dr. John Kois and the Center are highly respected within the dental community for its comprehensive program of doctoral post graduate studies for dentists. Upon completion of the entire course of study at the Kois Center, Dr. Romano received the prestigious honor of being awarded Clinical Instructor. Dr. Romano is now part of the select staff that teaches other dentists from all over the world.

Romano recognizes that going to the dentist can be challenging for many. Over the past 30 years he has seen many patients who avoided dental care because of anxiety. Because he felt a need to better serve these fearful patients he embarked on an extensive training program to acquire his conscious sedation license. Dr. Romano is one of only 50 dentists of the over 7000 dentists in New Jersey licensed to administer conscious (IV) sedation.

Dr. Romano will be honored for his outstanding achievements at a cap and gown ceremony given by the Academy of General Dentistry in Las Vegas in 2017.



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Madison museum to honor Dr. Romano on Sept. 7

Madison, NJ Dentist Sam RomanoMADISON – The Board of Trustees of the Museum of Early Trades and Crafts will honor Madison dentist Dr. Sam Romano as its 2014 “Craftsman of the Year” at 2 p.m. Sunday, Sept. 7, at the museum at 9 Main St. at Green Village Road in Madison.

The event was rescheduled from an earlier date “due to unforeseen circumstances,” noted museum trustee Thomas Judd.

Romano will receive the honor at a late-lunch reception, and present a lecture tracing the evolution of dentistry from its earliest beginnings to the high-tech practice of his office today.

“We hope that many of Dr. Romano’s friends and admirers will be able to join us for this belated celebration,” Judd said. “All previously-sold tickets will be honored, and the opportunity to participate has been extended at the museum and on our website.” The museum’s website is www.metc.org.

A Madison native, Romano is a graduate of Fairleigh Dickinson University and the New Jersey Dental School of the University of Medicine and Dentistry of New Jersey, Newark, and established his practice on Park Avenue in Madison in 1986. Read More…

In the Spirit of Giving, Dr. Sam Romano, Local Madison, NJ dentist gives underprivileged kids something to smile about!

Give kids a smile(Madison, NJ) – Local dentist, Dr. Sam Romano, will provide free preventive
and restorative dental care and, if necessary, make referrals for continuing treatment for
children ages 12 and under as part of National Children’s Dental Health Month (CDHM).
The one-day program, called Give Kids a Smile! (GKAS), will take place on Friday,
February 7, 2014, and is part of the American Dental Association’s (ADA) annual push
to bring attention to the number one childhood disease, tooth decay.
“Giving back to the community that has supported my practice is so important,” says
Dr. Romano. “This program will touch the lives of so many of New
Jersey’s children who need oral healthcare, but cannot afford it. I am proud to be a part of
it,” he said. Children who come to Dr. Romano’s office on Friday will receive a comprehensive dental exam, oral healthcare instruction, fluoride treatments, and free dental hygiene materials including toothbrushes, floss and toothpaste. Appointments are necessary from 8-1. The office will feature “Simon Mandal” the world greatest magician, who will be performing for the children. It promises to be a fun-filled day for all children who take part. Last February, in New Jersey alone, 2,000 children visited 140 sites across the state, including private dental offices like Dr. Sam Romano’s. In New Jersey GKAS is supported by Colgate, Henry Schein Dental and Delta Dental of NJ.
Dr. Romano has been practicing dentistry for more than 28 years here in
Madison. His practice, Dr. Samuel Romano, is located at 120 Park Avenue. www.drsamromano.com

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Loose Tooth

Your Tooth is Loose

Child with loose tooth and missing teeth
My hygienist, Kay wrote this blog that I thought I would share with you


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!

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