Dr. Sam Romano

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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Today’s Dental Implants

3-d sirona

Dental implants are replacement tooth roots. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth.

Advantages of Dental Implants?

Appearance. Dental implants look and feel like your own teeth. They are designed to fuse with bone, they become permanent.

Speech. With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry.

Comfort. They become part of you, implants eliminate the discomfort of removable dentures.

Easier eating. Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without discomfort

Self-esteem. Dental implants can give you back your smile and help you feel better about yourself.

Oral health. Dental implants don’t require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.

Durability. Implants are very durable and will last many years. With good care, many implants last a lifetime.

Convenience. Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing dentures, as well as the need for messy adhesives to keep them in place.

Today’s advanced technology makes implant placement precise and painless. Combining cone beam imaging with the Sirona’s Galileos implant software you can create a 3-D image that allows the user to place implants virtually. This allows for very precise placement in the jaw bone. It also reduces the time it takes to place the actual implant in your own bone. The Galileos software improves the safety of the surgery because it allows clinicians to visualize the patient’s nerve canal and bones in 3-D all before you touch the patient.

Dental implants are not covered by dental insurance at this time. Coverage may be possible under your medical plan depending on the insurance plan and/or cause of tooth loss. Questions about your individual needs and how they relate to insurance should be discussed with your dentist and insurance provider.

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Babies, Toddlers, Tweens, and Teens

babies, toddlers tweens and teens

Even tiny tots need regular checkups, just like mom and dad. The American Dental Association recommends kids start getting checkups at about age 1, or when their first tooth appears.

Yet even before then it’s important to care for your child’s teeth and gums. Though they’ll eventually lose them, baby teeth help a child speak and chew well, and also create a path for the permanent teeth that follow.

To care for baby and toddler dental health:

  • Brush your child’s teeth with a little water as soon as their first tooth appears. If your baby has no teeth yet, clean the gums at least two times a day, after breakfast and after the last feeding of the day. Clean your baby’s gums after every feeding.
  • Never put your child to sleep with a baby bottle of milk, juice, formula, or other sweetened liquid. If they need to sleep with a bottle, fill it with water.
  • For kids older than 2, supervise as they brush their teeth. Put a pea-sized dot of toothpaste on a soft-bristled brush and be sure to teach them to spit the toothpaste out, swallowing too much fluoride toothpaste permanently stain teeth.
  • If you’re giving your child medicine, brush the teeth afterward. The sugar found in some medicines can be converted into enamel-damaging acid.
  • To soothe pain from teething, letting your child chew on a clean teething ring, cool spoon, or a cold wet washcloth. You can also try rubbing your child’s gums with a clean finger.
  • Which dentist you choose for your child is up to you, but it’s useful to know that pediatric dentists receive two to three years of additional dental training to help them address the dental health needs of kids, from infant to adolescent.

Tweens and Teens Dental Care

Though many preteen and teenagers receive care from their pediatric, essentially their basic dental health needs are similar to adults. They (and you!) should:

  • Maintain a healthy diet rich in fruits and veggies, and low in sweetened foods and drinks.
  • Drink plenty of water! (power drinks and juices have lots of sugar)
  • Limit between-meal snacks especially those high in sugar.
  • Brush twice a day with fluoride toothpaste that has the American Dental Association’s Seal of Acceptance.
  • Floss at least once daily.
  • Get regular dental checkups and cleanings. Recommended every 6 months

And be sure your kids know that if those pearly whites are to last a lifetime they’re not to be used as ice crushers, fork tine straighteners, and potato chip bag openers.

Madison Merchants Share Lessons from Their Mothers

Bonnie L. Cramer; Monday, May 13, 2013 • 6:16am

Dr. Romano's motherMADISON, NJ – All across the country, people are preparing to celebrate Mom on Sunday. In the spirit of Mother’s Day, TAP of Madison asked some local business owners what lessons they’ve learned from their mothers.

At the dental office of Dr. Sam Romano, his mom was helping around at his office and she said, “The most important lesson I taught is to be honest, to do your best in school and be self-sufficient. I taught both my sons how to cook,” said Mrs. Carrie DeMarzo Romano. Doc Romano indicated that what he learned from his mother at an early age was this, “The greatest gift you can give is the gift of helping others. Be caring, have integrity and dedicate yourself to excellence.”

In uptown Madison, Louisa DeRose, owner of Hair We Are, said, my mother always told me to “respect yourself. It’s the only way you can respect others.”

Mary Roberta Murphy, 88 years old, a resident of Sunrise Assisted Living, had just finished having her hair done at DeRose’s shop. She was walking arm and arm with her daughter, Sue Ballance, toward their car, and her daughter said, “C’mon, Mom, what did you always tell us when we were kids?”, and Mrs. Murphy replied, “Behave.”

Arleen Gaetani, Owner, of New Leaf Consignment said, “My mom passed on a life-long appreciation for fine things and beautiful surroundings.”

The new manager at Coccia Realty is Kathy Ricketts. She said “My mother always dressed up, even now at 70 years of age. It doesn’t matter what you have, but you should always look your best. Be neat, be clean and never leave the house without your makeup on.”

Joanne Dauber, the owner at Once and Again Consignment said, “My mother always told me to never get mad, that only dogs get mad. Wake up every day with a song.”

“Never settle, my mom would say. I’ve been working since I’m 14, and now I’m a store manager. I think she was right about that,” said Olesia Senezak, Manager of the newest store in town, Second Time Around.

From Cramers Carpet One, owner Brad Cramer said, “My mother has been a widow for over 30 years, and she is a strong woman. She’s 90 and still mows her own lawn. My mom taught us self-reliance, and if you want something, you need to be the one to work for it.”

Just down the street, Nina Karamallis , one of the owners from The British Emporium said “the most significant lesson my mother taught is to always believe that God has a will for us even if we often don’t understand.”

Nicole Francoeur from Rose City Framemakers said, “My mom would tell me to follow my passion. That’s why I majored in Art, not Education.”

These were the lessons learned from mothers of some Madison Merchants.

From The Alternative Press