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Dr. Mitchell V. Karl, DDS

Dentist

Dr. Karl has been practicing in the field of dentistry for 31 years. He graduated from NYU Dental School in 1981, and completed a general practice residency program at Monmouth Medical Center the following year. The F.A.G.D. (Fellow, Academy of General Dentistry) honor was awarded to him in 1986. Prior to dental school, Dr. Karl attended Rutgers University. He graduated Rutgers College with Phi Beta Kappa, and Honors in Biochemistry as a Henry Rutgers Scholar.

Dr. Karl has been servicing the central New Jersey area in the private practice of dentistry since November 1983, maintaining staff affiliation with Robert Wood Johnson University Hospital in New Brunswick.
Learn More About Me
Dr. Mitchell V. Karl, DDS
Specializes in:
  • General Dentistry
  • East Brunswick, New Jersey
  • New York University College of Dentistry
  • Accepting new patients

What causes erosion of teeth?

There are various causes of erosion. We usually separate them into intrinsic and extrinsic categories. Extrinsic refers to things that are placed into the mouth from outside, such READ MORE
There are various causes of erosion. We usually separate them into intrinsic and extrinsic categories. Extrinsic refers to things that are placed into the mouth from outside, such as lemons, carbonated sodas, highly acidic foods and drinks. Intrinsic refers to acids that are produced by the body, such as acid reflux, vomiting and regurgitation. You need to examine if you can identify which, if any, of the two categories that you may fall. Then you can take measures to prevent what may be causing the erosion. Some people can be brushing with very abrasive toothpastes, or using a hard-bristled toothbrush too vigorously. Any and all of the above can attribute to erosion and loss of enamel.

Why does my 5 year old daughter keep getting cavities?

Does she drink a lot of sugared drinks? Does she suck on sugared candy? She must be getting sugar attacks from somewhere. Does she leave much food on her teeth and not brush effectively READ MORE
Does she drink a lot of sugared drinks? Does she suck on sugared candy? She must be getting sugar attacks from somewhere. Does she leave much food on her teeth and not brush effectively before bedtime? Cavities need a source from which to form. I suggest to examine carefully her habits and try to find the answer to the puzzle.

Mouth Ulcers Keep Coming Back

My first thought is if the sores might be connected to your menstrual cycle. Or is there any coincidence with stress? There are prescription medications that may help you. The READ MORE
My first thought is if the sores might be connected to your menstrual cycle. Or is there any coincidence with stress? There are prescription medications that may help you. The location of the sores are also important in order to know if we are dealing with a recurrent herpes type virus, or aphthous ulcers, typically known as cold sores.

Can a cavity spread to the next tooth?

Your decay in one tooth will not be directly transmitted to an adjacent tooth. So no worries there. However, are you certain that the adjacent teeth have been properly and recently READ MORE
Your decay in one tooth will not be directly transmitted to an adjacent tooth. So no worries there. However, are you certain that the adjacent teeth have been properly and recently examined by a dentist? You should also plan to “fix” or restore the decayed tooth as soon as possible to avoid allowing the decay to go deeper into the tooth. If untreated, the decay process will continue, leading to possible root canal treatment or extraction.

Are there any home remedies to treat canker sores?

Nothing that great really exists. The creams/meds used do not really shorten the time that the lesion will remain. Depending upon what type of canker sore you have, some subscription READ MORE
Nothing that great really exists. The creams/meds used do not really shorten the time that the lesion will remain. Depending upon what type of canker sore you have, some subscription meds may be effective.

How often should you floss?

Daily is usually recommended. I prefer using a rubber tip between the teeth because it’s easier to do, and just as effective, if not more so for the health of your gums.

Cosmetic Dentistry Dentist G4 implants

I’m not sure what else can actually be used for the all-on-4 technique. Just remember, you get all-on-4, but “none on 3.” If all 4 don’t work together, the entire case is lost. READ MORE
I’m not sure what else can actually be used for the all-on-4 technique. Just remember, you get all-on-4, but “none on 3.” If all 4 don’t work together, the entire case is lost.

Fear of local anaesthetic allergy

If you have never had a detrimental response to local anesthetic, chances are VERY slim that one would ever occur. Some patients get a faster heart rate IF epinephrine gets into READ MORE
If you have never had a detrimental response to local anesthetic, chances are VERY slim that one would ever occur. Some patients get a faster heart rate IF epinephrine gets into the bloodstream directly. Talk about your concerns, but they sound as if fabricated by yourself for whatever the reason.

How can I get rid of teeth stains caused due to smoking?

Best thing to do is to see a dentist, or the hygienist that works in their office.

My daughter has a gap between her front two teeth. Is it normal?

This does occur often. Depending upon the source of the space, the repair options will vary. Some options would include perio tissue removal if indicated, bonding, or crowns and/or READ MORE
This does occur often. Depending upon the source of the space, the repair options will vary. Some options would include perio tissue removal if indicated, bonding, or crowns and/or veneer laminates.

I suddenly have a gap in between my front teeth. Why?

Most likely due to either a tongue thrust habit that recently developed, or a bite discrepancy with clenching and/or grinding. Gum disease and mobile teeth may also lead to a space READ MORE
Most likely due to either a tongue thrust habit that recently developed, or a bite discrepancy with clenching and/or grinding. Gum disease and mobile teeth may also lead to a space between the 2 front teeth. See your dentist for a proper diagnosis and treatment options.

Are raisins good for your teeth?

Raisins may be considered a “healthy” snack; but anything that has sugar and also sticks to the teeth, can increase the risk of getting decay in the teeth. Hope that helps.

Can cola be the cause of discoloration in my teeth?

Those liquids could definitely cause tooth discoloration over time. A dental cleaning would be best BEFORE using a store-bought or office directed bleaching kit.

Why does only one tooth area bleed when I floss?

You probably have an inflamed or infected area of gum disease. But other diagnoses are also possible. Not possible to diagnose properly without being seen in person at the dental READ MORE
You probably have an inflamed or infected area of gum disease. But other diagnoses are also possible. Not possible to diagnose properly without being seen in person at the dental office.

Do dental whitening toothpastes contain bleach?

Some may, and some contain abrasive substances that may not be Healthy for your enamel. Ask your dental office about the products you are referring to.

I have a black stain on my tooth. How can I get it removed?

It all depends upon if the black area is just stain, calculus, or decay. It needs to be seen by your Dental professional.

My dental filling keeps coming out. What should I do?

Possibly, yes. However, there may be underlying problems causing the filling to dislodge. You may be a very heavy grinder, your bite may be off, or the tooth may not have enough READ MORE
Possibly, yes. However, there may be underlying problems causing the filling to dislodge. You may be a very heavy grinder, your bite may be off, or the tooth may not have enough structure around it in order to hold a filling in place. In that instance, a crown may be indicated. These are questions that your dentist should be able to answer and explain to you.

I just got a crown fit on my teeth but it hurts a lot. Does it require re-treatment?

Sounds like it requires something! Your bite may be off and a simple adjustment may resolve your issue. The nerve inside of the tooth my have been traumatized, and it will either READ MORE
Sounds like it requires something! Your bite may be off and a simple adjustment may resolve your issue. The nerve inside of the tooth my have been traumatized, and it will either resolve on its own, or possibly need root canal treatment. Definitely call to see your dentist ASAP because the longer you wait, the more potential damage can be done. You should not be having pain as a result of placing a new crown. You need to be seen for a proper diagnosis to be made.

Swollen and localised pain after done a deep cleaning; is this normal?

Your situation does not sound "completely normal". I would see your dentist again in order to see why you are having this delayed pain. There are various possibilities, but a READ MORE
Your situation does not sound "completely normal". I would see your dentist again in order to see why you are having this delayed pain. There are various possibilities, but a visual examination is necessary in order to properly diagnose what your problem stems from.

My front tooth got chipped at the bottom. What can be done about it?

You need to see a dentist in order to properly answer that question. Depending upon the circumstances, your treatment might require either a very simple bonding repair, versus READ MORE
You need to see a dentist in order to properly answer that question. Depending upon the circumstances, your treatment might require either a very simple bonding repair, versus root canal therapy, versus extraction. Since the possibilities are so variant, examination and discussion of the pros and cons of all potential treatments is the first step that must be taken. A dental x-ray will also most likely be necessary.