EXPERT
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.
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.
Dr. Mitchell V. Karl, DDS
- East Brunswick, New Jersey
- New York University College of Dentistry
- Accepting new patients
Head, Neck, and Face Pains
Most people have experienced a "toothache" at one time or another. Have you ever wondered why some aches seem to go away and others do not? How can you determine when it is wise...
What should you not do after composite bonding?
You should treat it as any other restorative procedure. You may want to avoid foods or drink that could cause discoloration if the composite is in an esthetic zone area. Otherwise READ MORE
You should treat it as any other restorative procedure. You may want to avoid foods or drink that could cause discoloration if the composite is in an esthetic zone area. Otherwise no special care is needed. If it was a composite to restore a chipped front tooth for example, you should avoid placing pressure on the repaired area with holding a hard object like a metal nail or pin between your teeth at the same spot as the repair.
How do you treat bone loss in teeth?
Bone loss is treated in a variety of ways depending upon the degree of bone loss. Some circumstances require deep cleaning and maintenance as a final solution. But other situations READ MORE
Bone loss is treated in a variety of ways depending upon the degree of bone loss. Some circumstances require deep cleaning and maintenance as a final solution. But other situations may involve periodontal surgery, bone grafting procedures, etc. It is all very dependent upon the degree of your personal situation. The only way to evaluate your present situation is to be properly evaluated by a dental professional. I would seek out a qualified dentist at your earliest convenience.
Good luck.
Good luck.
Do interdental brushes cause black triangles?
Interdental brushes do not cause black triangles. Gum recession and inflammation are the real cause of those triangles. Interdental brushes are strongly recommended for proper READ MORE
Interdental brushes do not cause black triangles. Gum recession and inflammation are the real cause of those triangles. Interdental brushes are strongly recommended for proper dental care and hygiene.
How long after dental bonding can I eat?
In my office, it’s immediately. Should be fine.
How long will braces take to fix one tooth?
It's all a matter of what exactly needs to be done to the one tooth. There are too many unknowns to your question to answer with any accuracy. I suggest that you consult with an READ MORE
It's all a matter of what exactly needs to be done to the one tooth. There are too many unknowns to your question to answer with any accuracy. I suggest that you consult with an orthodontist, who can give you that information when he sees your particular situation.
How can I remove calculus from my teeth at home?
Once calculus forms on your teeth, unless you are a dental professional, it is not possible to safely remove the calculus on your own. You would need to use a sharp metal instrument, READ MORE
Once calculus forms on your teeth, unless you are a dental professional, it is not possible to safely remove the calculus on your own. You would need to use a sharp metal instrument, like the ones used in a dental office. You have a great chance to harm or cut your gums if you tried to treat yourself. The only safe way to remove calculus formed on teeth is in the dental office either by the dentist or the hygienist.
Can anything reverse receding gums?
The best thing that you can do is to insure that your gums do not recede any further. You will need to see your dental professional in order to determine what measures can be taken READ MORE
The best thing that you can do is to insure that your gums do not recede any further. You will need to see your dental professional in order to determine what measures can be taken to accomplish that goal. If by chance your gums have receded so far that you are at risk of tooth loss or failure, then more definitive treatment may be necessary at this time. Again, the only way to know if that is the case, is to visit your dentist for a proper evaluation and examination. One of the options that might be necessary is a periodontal tissue graft. There are various types, and your periodontist will further inform you of those options if applicable. So, seek out the care and expertise of your dentist as soon as possible in order to insure your continued dental health.
Can you wear Invisalign with dental implants?
Yes. Invisalign has nothing to do with implants. However, you cannot expect a restored implant tooth to move at all if that was the proposed plan within the Invisalign treatment. READ MORE
Yes. Invisalign has nothing to do with implants. However, you cannot expect a restored implant tooth to move at all if that was the proposed plan within the Invisalign treatment. But you can move teeth with Invisalign BEFORE restoring any particular implant tooth.
Why do my gums bleed around my crown?
There are a number of reasons that your gums bleed around your crown. First, it needs to be determined how well your home care actually is. Do you have bleeding elsewhere in your READ MORE
There are a number of reasons that your gums bleed around your crown. First, it needs to be determined how well your home care actually is. Do you have bleeding elsewhere in your mouth? You may need to use either floss or a rubber tip to clean and stimulate the gums in that area properly. It’s possible that something is lodged within the gum tissue that is causing bleeding and inflammation. It’s also possible that you have an ill-fitting crown that needs to be replaced. The only way to determine the actual cause of the bleeding is to seek out a dentist that you can trust to evaluate your particular situation. I suggest that you reach out for an evaluation as soon as possible in order to resolve the bleeding, and to confirm that there is nothing more serious acting as the source of your bleeding.
Can a night guard shift your teeth?
A properly made night guard will not shift the arch that it is covering. As long as the bite is correctly set up and managed by your dentist, then there should be no shifting of READ MORE
A properly made night guard will not shift the arch that it is covering. As long as the bite is correctly set up and managed by your dentist, then there should be no shifting of the other arch either. If a night guard is not worn for a while, it is possible that the teeth that it was covering could actually shift slightly, depending upon a number of different reasons. You would know if this were the case, because the night guard would feel and fit much tighter than it had previously. Most all night guards are made of materials that are softer than teeth, and they act as a
sacrificial lamb to an extent. Meaning that the night guard itself will show the wear from clenching and/or grinding, instead of the teeth taking the brunt of that wear. So, the teeth are protected from wearing down themselves as a result of wearing the night guard. Hopefully this will serve as an answer to your question, and also give you some additional information regarding night guards and their purpose.
sacrificial lamb to an extent. Meaning that the night guard itself will show the wear from clenching and/or grinding, instead of the teeth taking the brunt of that wear. So, the teeth are protected from wearing down themselves as a result of wearing the night guard. Hopefully this will serve as an answer to your question, and also give you some additional information regarding night guards and their purpose.
How many times can a crown be replaced?
There are no “rules” regarding number of times. But the first question I have is, what is the reason for multiple remakes on the same tooth? And how frequently are these remakes? READ MORE
There are no “rules” regarding number of times. But the first question I have is, what is the reason for multiple remakes on the same tooth? And how frequently are these remakes? As long as the tooth has enough of its own structure and integrity, there is not a special number of remakes in order to achieve a successful result. But if the remakes are within a relatively short time period, then something sounds fishy with either your tooth, or the operator.
Good luck.
Good luck.
What can I put on my gums to stop hurting after dentures?
There is no magic cream or medicaments to relieve the source of your gum pain. I strongly suggest that you visit your dental professional to look for the source of your pain, and READ MORE
There is no magic cream or medicaments to relieve the source of your gum pain. I strongly suggest that you visit your dental professional to look for the source of your pain, and resolve it. Sounds like a denture adjustment is in order. There are those people that never are able to comfortably wear dentures. You need the dentist to try to resolve your pain issue. Good luck.
How long do dental implants last?
There is no way to provide a simple true answer to that question. Some last for many many years, and others fail after a few months. It all depends upon the type of bone you have, READ MORE
There is no way to provide a simple true answer to that question. Some last for many many years, and others fail after a few months. It all depends upon the type of bone you have, how well you heal, and the amount of skill that the surgeon has that performs the treatment. Good luck.
Can you get a mouth cyst removed at this time?
All dental offices in the State of NJ are allowed to treat non-emergency cases as of May 26, 2020. So, as of that date, your procedure can be treated and completed.
What is the most natural looking crown?
An all ceramic crown is the most beautiful types of crowns that can be made. But the truth be told, the degree of beauty and how natural the crown looks is dependent upon two main READ MORE
An all ceramic crown is the most beautiful types of crowns that can be made. But the truth be told, the degree of beauty and how natural the crown looks is dependent upon two main factors. One factor is the dentist him/herself who is responsible for preparing the tooth for the new crown. There are certain criteria that need to be met in order for the lab technician to be able to actually make a beautiful crown restoration. Which leads us into the second factor, that being the lab tech who actually fabricated the crown. Just as things apply to any person, or any dentist, or any lab tech, not all folks are as capable as others. The lab tech plays an equal role to that of the dentist with regard to the final product, or crown in this instance. Unfortunately, both of these factors are relatively “blind items” to the consumer, or patient. So even though a porcelain or ceramic crown is easily agreed upon as being the most beautiful type of crown, it all depends upon the doctor and technician doing the work for you. So good luck, and try to choose your doctor wisely.
Can a tooth be filled if the nerve is exposed?
This question is not answered by a simple yes or no. There are different types and degrees of exposure of a nerve. Some are small enough that a pulp cap may work successfully before READ MORE
This question is not answered by a simple yes or no. There are different types and degrees of exposure of a nerve. Some are small enough that a pulp cap may work successfully before a restoration is placed. But the usual nerve exposure is in need for root canal treatment. In this instance in particular, you need to trust and have faith in your dentist. And even if a pulp cap is performed, it is not possible to predict with 100% certainty that it will be successful.
Can I get a crown without a root canal?
The simple answer is yes. The two procedures are relatively independent of each other. However, most teeth that have had root canal therapy need to have a crown afterwards. But READ MORE
The simple answer is yes. The two procedures are relatively independent of each other. However, most teeth that have had root canal therapy need to have a crown afterwards. But the reverse is not necessarily true. Many crowns are made without needing root canal treatment.
Can you get a cavity under a veneer?
The simple answer is yes. Decay can form anywhere in the mouth. It is more prevalent on non smooth surfaces. But veneers have junction points with the tooth. It is at those junctions READ MORE
The simple answer is yes. Decay can form anywhere in the mouth. It is more prevalent on non smooth surfaces. But veneers have junction points with the tooth. It is at those junctions that the decay could form, and could then find its way underneath the veneer. So have your veneers checked periodically.
How can you protect your teeth from bone loss?
The best defense to bone loss and periodontal disease is proper home care practices. In addition to seeing your dental professional, home care is the key. Proper brushing, flossing, READ MORE
The best defense to bone loss and periodontal disease is proper home care practices. In addition to seeing your dental professional, home care is the key. Proper brushing, flossing, and rubber tip use are critical to your defense against bone loss and gum disease.
How often should I use a gum stimulator?
I strongly recommend the use of gum stimulators. They should be used daily. If possible, before bedtime is best so that your mouth is debrided before the hopefully many hours of READ MORE
I strongly recommend the use of gum stimulators. They should be used daily. If possible, before bedtime is best so that your mouth is debrided before the hopefully many hours of sleep.
