WIlliam F. Scott IV, DMD
Dentist | General Practice
161 Washington Valley Rd STE 202 Warren New Jersey, 07059About
Dr. William Scott is a Cosmetic, Implant & Family Dentist practicing in Warren, NJ at Deluxe Dental Group. Dr. Scott specializes in preventing, diagnosing, and treating diseases and conditions associated with the mouth and overall dental health and is trained to carry out such treatment as professional cleaning, restorative, prosthodontic, and endodontic procedures, and performing examinations, among many others.
Education and Training
Temple Dental School DMD 2014
Board Certification
American Board of Dental Public Health
Provider Details
WIlliam F. Scott IV, DMD's Expert Contributions
How do you know if a bite is still healing after a filling?
Hello, As soon as the anesthesia wears off the "bite" should feel the same as it did before the tooth had a filling. The bite itself does not need time to heal. However, if the pulp chamber of the tooth got irritated during the filling procedure (they usually do if the cavity was close to the pulp chamber) then the blood vessels inside the tooth need to settle down and usually an anti-inflammatory is given to help. If the bite still feels high or weird after the anesthesia wears off, it is best to call the doctor that did the filling as he/she will be the best one to assess what feels different (there should be no charge for this as it is a follow up to the procedure). At the very least the doctor will be aware that something is bothering you and can take the appropriate measures to alleviate your pain, discomfort, or concern. Hope this helps. My best to you! William F. Scott IV, DMD READ MORE
Can a crown last a lifetime?
Hello, Teeth with crowns are still subject to cavities, fractures, and trauma. The best crown we have is the one that we are born with. Nothing replaces enamel. However, we do have some materials that can last a long time. Any good dentist prides himself/herself on the length of time that we can get crowns to last. Some have been in peoples mouths for almost 40 years! However, even insurance companies realize that teeth with crowns can have problems and allow the crown to be replaced every so often. If they lasted a lifetime, the insurance companies would want us to put crowns on every tooth and then never pay for it again! Important things to consider after getting a crown are: 1) the tooth can still get a cavity under the crown (usually around the edge of the crown). 2) the tooth can still get periodontal disease. This means that the crown is fine, but the structure around the tooth is failing. 3) The crown material is still subject to fracture. 4) In order to prevent this, we treat it like a regular tooth; brush, floss, and be careful of what we eat. Hope this helps. My best to you! William F. Scott IV, DMD READ MORE
Can you use hydrogen peroxide to whiten your teeth?
Hello, Hydrogen peroxide is one of the most common whitening agents (zoom and opalescence) that dentists and tooth pastes use for whitening teeth. Hydrogen peroxide (H2O2) will enter the enamel of and remove some of the staining on teeth; however, it is also toxic to the soft tissues (lips, gums, and cheeks) in people's mouths. When the dentist uses a stronger concentration of hydrogen peroxide, he/she isolates the patients cheeks, lips, tongue, and gums (gingiva). Use of hydrogen peroxide at home to whiten teeth needs to have a longer contact time (time on the teeth) and this irritates the soft tissues. It is also worth noting that while there have not been any studies to prove this; but cancer is caused by damaged cells and hydrogen peroxide is a free radical which can cause damage to cells. Just some food for thought. Hope this helps My best to you, William F. Scott IV, DMD READ MORE
What if there is not enough tooth for a crown?
Hello, Amount of tooth structure for a crown is the first thing that a dentist considers when they make the diagnosis for a crown. If there is not enough tooth, the dentist does not usually recommend a crown. He/She will recommend removing the tooth and replacing. It is important to realize that a tooth that is broken down to the gums still has the ability to be rebuilt into a crown. As long as there is no decay, a post and a build up material can be used to give the dentist enough tooth to put a crown on. Otherwise, the tooth would need to be replaced. Hope this helps. My best to you, William F. Scott IV, DMD READ MORE
What to expect after a deep filling?
Hello, Things to look out for after a deep filling are; nothing, sensitivity, continued sensitivity, and pain. When a cavity goes close to the nerve of the tooth (pulp chamber), the blood vessels inside the tooth can get irritated and inflamed. Just like when someone bumps their arm the blood vessels will swell up and the skin will expand. The same thing happens inside a tooth; however, the tooth will not expand so the blood vessels will put pressure on the nerve. This will usually cause pain. At this point a root canal may need to be considered. Because the material that is being used for the filling does not have as much thermal protection, sensitivity or continued sensitivity can be experienced. Unfortunately, there are no substitutes for tooth enamel and the sensitivity can last up to 6 weeks. These are just the most common symptoms that can happen with a deep filling. It is also likely that someone does not experience any of these. Hope this helps William F. Scott IV, DMD READ MORE
Can you get a cavity under a veneer?
Hello, Yes, it is possible to get a cavity under a veneer. Usually, the cavity starts at the edge where the veneer meets the tooth. Usually, the dentist will review and make sure the likelihood of getting a crown under the veneer will be low. Cavities can be avoided by having regular dental exams and cleanings. However, if a cavity is detected during one of these visits, they are usually small enough to repair without disturbing the veneer. If regular exams were not possible and the cavity is big, it is usually possible to change the veneer to a crown and still keep the aesthetics. Hope this helps. My best to you, William F. Scott IV, DMD READ MORE
Are veneers better than crowns?
Hello, Asking if veneers are better than crowns is a good health care question. The answer, however, is not that straight forward. Since veneers are being discussed, it better to consider a front tooth. There are pros and cons to putting a veneer or a crown on a front tooth. The pros of putting a veneer on a front tooth are that the aesthetics of the front teeth will certainly get better and it means that less tooth structure will be removed to do so. However, the cons of doing a veneer on a front tooth means that the retention of the veneer is not as strong as a crown. A veneer may not be able to hide unaesthetic areas, either. The pros for a crown really the cons for a veneer and the cons for a crown are really the pros for a veneer. So, to answer the question of which one is better really depends on what type of person is getting the crown or veneer. If the patient is someone that wants it to be over with and not want to deal with it again, then that person should more consider the crown more. If the person values saving as much tooth structure as possible and does not mind if the veneer comes off occasionally, then they should consider a veneer. Hope this helps. My best to you, William F. Scott IV, DMD READ MORE
How do you clean your real teeth with veneers?
Hello, Teeth should be cleaned the same way with or without veneers; brushing, flossing, and mouth rinse. A veneer is simply a covering that gets cemented to the underlying tooth structure. Most of the time, a small amount of enamel is removed on the front of the tooth to make room for the veneer. This way the tooth does not look more bulky than it did naturally. Once the veneer goes on the tooth, it gets cemented and sealed off. It is still important to keep the rest of the tooth and the veneer clean, and this is best accomplished by brushing and flossing. Hope this help. My best to you William F. Scott IV, DMD READ MORE
Can a cavity under a crown be filled?
Hello, Filling a cavity under a crown is situational dependent. If the cavity is small and the history of cavities is low and perhaps in an elderly patient that needs to avoid longer procedures; it might be preferable to fill a cavity under a crown. However, if not all of these circumstances exist then it might be better to remove the cavity while replacing the crown. For example; cavities under crowns usually start at the edge where the crown meets the tooth. If the cavity grows and goes up under the crown then it would not be possible to do the filling without removing the crown. Hope this helps. My best to you! William F. Scott IV, DMD READ MORE
What causes a root canal to get infected?
Hello, Root canal procedures are usually around 98% successful. However, even with this high chances of success 2 out of every 100 root canals fail. A broken tooth after a root canal does not constitute a failure of a root canal. This means that most times when a root canal fails, it is due to what is termed re-infection. Re-infection of a tooth that has had a root canal comes in two different ways; new bacteria making it past the root canal sealant or old bacteria that have laid dormant re-activating. Understanding what happens during a root canal procedure is the best way to learn how a tooth with a root canal gets re-infected. First the dentists accesses the canals of the tooth, then they are cleaned and the organic matter (nerve and blood vessels) are removed from the canals as well as any bacteria that got in there. The canals are shaped a little and then filled with a material sealing off each canal. Re-infection of tooth means that bacteria have gotten into the the sealed off canals and stimulated the immune system. This means that either new bacteria from the mouth have gotten into the tooth and migrated past the sealed canals (it does happen) or the original bacteria has formed a spore (bacteria equivalent of hibernation) and then reactivated stimulating the immune system. Either way the canal system needs to be cleaned again or the tooth would need to be removed (extracted). Hope this helps. My best to you! William F. Scott IV, DMD READ MORE
Can a tooth be filled if the nerve is exposed?
Hello, Great question! In a theoretical sense; yes, a tooth can be filled after the nerve is exposed. This procedure is called a direct pulp cap and it is not done very often as it is not that successful and is saved for times when it is the only thing that can be done. It would depend on the the size of the exposure to the nerve; but it would involve attempting to create a bridge over the exposed area and then putting a filling on top of that. It could be structurally successful but the patient could have lingering sensitivity or chronic pain. Even if the patient does not have any discomfort immediately after the procedure, the tooth still needs to be monitored at each cleaning and perhaps additional visits, then the tooth may flare up 6 months later. With the success of root canals, and the cultural drive of not wanting to re-visit the same tooth problem continuously most people choice the root canal. Hope this helps. My best to you! William F. Scott IV, DMD READ MORE
What hurts more tooth extraction or root canal?
Hello, Not many people think to ask which hurts more a root canal or an extraction. It is a smart question. There are a couple things to consider to figure out whether a root canal or an extraction hurts more; however, the extraction edges out a root canal (extraction is more painful). Neither of which should be painful during the procedure. First of all it is important to consider that basically the same thing is happening in both root canal and extraction procedures. The nerve is sending pain signals back to the brain causing the tooth to hurt. In both cases (extraction and root canal) the nerve of the tooth is being removed. No nerve, no pain signals to send to the brain. In the root canal the nerve is being removed from the inside of the tooth. In the case of the extraction the whole tooth is being removed which means the nerve comes with it. However, in the case of the extraction, since the whole tooth is being removed, it is going to severe other nerves in the tooth socket and jaw bone itself. There is more pressure on the jaw bone as it has to be flexible to let the tooth be removed. Secondly, one of the most miss-understood ideas about root canals is, they either hurt afterward (like an extraction would) or they feel relieved afterward (unlike an extraction). This means that sometimes the nerve inside the tooth dies on its own and it is causing pain, but when the dentist removed the nerve, there is nothing to cause pain and the patient feels much better. These people often swear that their dentist can do a great root canal cause they had no pain afterward. Usually, these cases are ones that people have waited long past when the root canal should have been started, and the pain is unbearable. In summary, because an extraction severs more nerves and a root canal may not hurt at all afterward, the root canal should be considered less painful. Hope this helps. My best to you! William F. Scott IV, DMD READ MORE
Is it normal for gums to hurt after a filling?
Hello, It is very possible for gums to hurt after a filling, but it is not the norm. Fillings come in all different shapes and sizes. Sometimes they are large and get close to the nerve (pulp chamber) of the tooth and sometimes they run along the side of the tooth. If the cavity happens to be close to the gums, there is a couple instruments that the dentist has to put between the teeth to help isolate the gums (gingiva) from the tooth. Occasionally, any of the instruments can irritate the gums and cause them to bleed. If there is a lot of irritation then the gums will hurt after the anesthesia wears off. The discomfort will usually be felt around the tooth and not inside of it. It is best to have the dentist who did the filling evaluate the area to diagnose what is causing the discomfort (there should not be a charge as it is part of the filling procedure). Hope this helps. My best to you, William F. Scott IV, DMD READ MORE
Does alcohol help tooth pain?
Hello, Drinking alcohol is a central nervous system (CNS) depressant; which means it slows down nerve impulses in the the brain, brain stem and spinal cord. However, nerve impulses do get through, so the pain signals will still be received by the brain. This myth gets is merit from the fact the alcohol does cause retro-grade amnesia (the ability of someone got drunk and does not remember what happened even before they started drinking). So, psychologically speaking, it is possible to forget that someone had pain during the time they were drinking. However, some people react more intensely to stuff when they drink alcohol so it is very possible that they will feel the pain worse then it actually is. In summary, drinking alcohol will not ease the tooth pain. Hope this helps. My best to you William F. Scott IV, DMD READ MORE
What happens if a blood clot forms after tooth extraction?
Hello, Clotting blood is a very complicated biological pathway. We need it to be this way. We need blood to clot when we cut ourselves, but we do not want it to clot while it is in our arteries and veins. After an extraction, a clot is formed in the extraction socket. This is what helps protect the socket while it heals. In fact, the loss of this clot is what we refer to as dry socket (alveolar osteitis), a very painful condition. We want this clot to form and stay put. A clot inside an artery or vein is not a good thing. If this type of clot forms then it is an emergency and immediate medical help is needed as it can cause a stroke, heart attack, or infarction somewhere else. However, unless someone is suffering from a specific illness, there is no reason for a clot to form inside that person's artery or vein. Hope this helps. My best to you, William F. Scott IV, DMD READ MORE
Can a dentist fix half a tooth?
Hello, It depends on which half of the tooth is missing and if the remaining half is intact or has decay in it. As long as a tooth is free of decay and the root is in tact, then a lot of times the dentist can build a tooth up from the gums. Things that mean the dentist can not fix half a tooth is if the remaining half has too much decay or if the decay goes between the roots of the tooth or if the decay goes too deep down the root of the tooth. It is always worth a free consultation to find out what can be done with half a tooth. Hope this helps. My best to you, William F. Scott IV, DMD READ MORE
How does a dentist remove a broken tooth?
Hello, Removing a broken tooth is a good question. The age old expression of ".. its like pulling teeth" is fun to say but fundamentally wrong. Dentists do not pull teeth out (actually that is how they break). Dentist manipulate teeth out, and a lot of times they do that by pushing. Believe it or not, in a lot of cases, a broken tooth is easier to remove than an intact tooth (because there is more pushing than pulling). Whether or not the tooth is broken, the dentist is going to start by moving the gums (gingiva) off of the tooth, and then using instruments expand the slightly expand the socket that the tooth sits in. Once this expansion is done the dentist will push the tooth to the side in all different directions. At this point the tooth will want to rise up out of the socket (think about what would happen if you slide your finger down the side of a martini glass and until you hit the bottom. The olive resting in the bottom will pop up). This is continued until the tooth comes all the way out, or the tooth is able to be grabbed with something. Hope this helps. My best to you William F. Scott IV, DMD READ MORE
How do cavities heal without fillings?
Hello, Only certain cavities can heal without fillings. The cavity has to be extremely small, microscopic, in fact. It sounds weird to say; but a cavity can only be healed as long as it is not cavitated. It is helpful to think of the enamel of a tooth like scaffolding. Prior to becoming an actual cavity, the tooth gets demineralized in that area. The enamel looses its minerals but the scaffolding is still there. This is the beginning part of the cavity and as long as the scaffolding is still there then minerals can be added back to it. At this point, dentists advise to increase brushing and flossing and and a fluoride mouth wash into the daily routine. Fluoride will get added to the enamel scaffold and the cavity process will reverse. This is a long process that requires frequent check ups at the dental office. However, once the scaffolding is gone, there is nothing there for the minerals to cling onto. Hope this helps. My best to you William F. Scott IV, DMD READ MORE
Can a zirconia crown break?
Hello, This is a very good question! Zirconia crowns are some of the strongest crowns we have; however, they do break on occasion. The first thing to ascertain is whether the crown is going to be full zirconia or if it is going to be zirconia with a more aesthetic porcelain layered on top of it. The zirconia with porcelain layered on it is much more prone to fracture at the junction of the layering. A full strength zirconia crown with no layering is very strong and done every single day. Hope this helps. My best to you! William F. Scott IV, DMD READ MORE
What causes dental bridges to fall out?
Hello, Dental bridges can fall out for a variety of reasons; however, there are usually only a couple reasons that cause bridges to fall out the majority of the time. The first thing to consider is the cement. How old is the dental bridge? A bridge made over 10 years ago was likely cemented with a different cement than what is used to day. These cements typically only last about 10 years. If this is the case, the dental bridge can be re-cemented. Secondly, a lot of times posts are used to build up the teeth that hold dental bridges in. The cement that holds these posts in do not last as long as the cement that holds the dental bridge in. A lot of the time these posts can be re-cemented; however, sometimes they can not because of the different angles of the posts. If this is the case, new posts would usually be put in and a new bridge would be made or reverse core build ups would be done. Finally, another thing to consider is cavities. Cavities can form around the base of the bridge and if they get bad enough the bridge will fall out. At this point, it is best to consult with a dentist about what can be done. Hope this helps. My best to you! William F. Scott IV, DMD READ MORE
Expert Publications
Data provided by the National Library of Medicine- Studies on egg disinfection.
- Studies on egg disinfection.
- Injecting antibiotics into turkey hatching eggs to eliminate Mycoplasma meleagridis infection.
- Subacute combined degeneration of the spinal cord and air encephalography.
- The management of hypertension in general practice.
- The needs and methods of in-service training. (a) In-service training in industry.
- A fatal case of malakoplakia of the urinary tract.
- A fatal case of malakoplakia of the urinary tract.
- Mesenteric cavernous lymphangiomata: brief review and report of two cases.
- A comparative study of fluid volumes in heart-lung by-pass operations in open-heart surgery.
- Fluid volume control in heart-lung bypass operations in open-heart surgery.
- Malignant tumors of nonchromaffin paraganglia.
- Bacterial pneumonia.
- Bacterial pneumonia.
- Clinical and pathologic features of multiple myeloma; a review of five cases with autopsies.
Areas of expertise and specialization
Faculty Titles & Positions
- President Central Dental Society 2018 - Present
Awards
- Champion of Action 2018 New Jersey Dental Association
- America's Top Dentist 2018 Consumer's Research
- Favorite Kid's Docs 2018 NJ Family Magazine
- America's Top Doc 2019 Find A Top Doc
- America's Best Dentist 2019 Consumer's Research
- Top Invisalign Dentist 2019 Invisalign
Professional Memberships
- NJDA
- Central Dental Society
WIlliam F. Scott IV, DMD's Practice location
Deluxe Dental Group
161 Washington Valley Rd STE 202 -Warren, New Jersey 07059Get Direction
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