expert type icon EXPERT

Dr. John Toumanios

Dentist

Dr. John Toumanios is a top Dentist in Fairfield, . With a passion for the field and an unwavering commitment to their specialty, Dr. John Toumanios is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. John Toumanios is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. John Toumanios is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Fairfield, New Jersey, Dr. John Toumanios is a true asset to their field and dedicated to the profession of medicine.
Dr. John Toumanios
  • Fairfield, New Jersey
  • Columbia University Dental School
  • Accepting new patients

Can teeth grinding cause headaches?

Yes, it is possible to wake up with a headache if you grind your teeth at night. Look into getting a mouthguard professionally made by your dentist. I recommend the hard/soft READ MORE
Yes, it is possible to wake up with a headache if you grind your teeth at night. Look into getting a mouthguard professionally made by your dentist. I recommend the hard/soft combo mouthguard for your lower teeth. I have gotten very good results with this appliance, and I have patients who swear by it! It may also improve the quality of your sleep.

Can tooth grinding be a serious issue for kids?

I don't think your daughter is a candidate for a nightguard. Children's dentition constantly change and compliance is poor. I would take a wait and see approach. If your daughter READ MORE
I don't think your daughter is a candidate for a nightguard. Children's dentition constantly change and compliance is poor. I would take a wait and see approach. If your daughter is complaining she is waking up with pain or suddenly breaking teeth then I would get a dental evaluation.

Why does a cracked tooth have to be pulled?

The only times a tooth needs to be pulled if there is a vertical fracture [the tooth is split down the middle] or severe periodontal disease. The priority is always to save your READ MORE
The only times a tooth needs to be pulled if there is a vertical fracture [the tooth is split down the middle] or severe periodontal disease. The priority is always to save your tooth. This should be your priority and the treating dentist's priority. If the tooth broke and missed the nerve you may need a crown. If it broke into the nerve you would need a root canal first and possibly a post before the crown. Whatever you do seek options in order to save your tooth!

What is the best whitening toothpaste?

As soon as I find one I'll let you know. I am currently trying a toothpaste with activated charcoal. The jury is still out. Regular dental cleanings with the hygienist using a READ MORE
As soon as I find one I'll let you know. I am currently trying a toothpaste with activated charcoal. The jury is still out. Regular dental cleanings with the hygienist using a prophy jet helps. A gradual bleaching treatment with custom trays that fit your mouth works. Whatever you do, always use a soft or extra soft toothbrush. Anything harder will actually thin out your enamel, allowing your dentine to shine through and making your teeth more yellow! Let's face it, what we put in our mouth matters. If your favorite beverages are coffee and red wine (like me) or tea, it's going to stain your teeth. And smoking is a definite non starter.....

When is a root canal recommended?

A root canal is recommended if you have a cavity or you have broken your tooth in such a way that the nerve (pulp tissue) is exposed to bacteria. The nerve is in a sterile environment READ MORE
A root canal is recommended if you have a cavity or you have broken your tooth in such a way that the nerve (pulp tissue) is exposed to bacteria. The nerve is in a sterile environment protected by your dentine and enamel. Once that environment is compromised, the nerve starts to die. Usually you feel pain that can grow more severe with time and can lead to a dental abscess (swelling). In some occasions, the nerve can die without giving you any pain. A dental X-ray would be needed to diagnose this condition and, yes, you still need a root canal procedure. Trauma can also lead to the need for a root canal procedure. In some situations, symptoms don't appear till many years in the future.

How can I tell if I'm grinding my teeth?

Yes, you are probably grinding your teeth while you sleep. Cusps can flatten out, giving your molars a boxy look. If you have silver fillings, they will appear shiny. Look in a READ MORE
Yes, you are probably grinding your teeth while you sleep. Cusps can flatten out, giving your molars a boxy look. If you have silver fillings, they will appear shiny. Look in a mirror and bite down. If you can see the muscle near your temple flex, you've been working out (in your sleep, a.k.a., grinding/clenching). Have your dentist make you a custom mouthguard to sleep in. I prefer the hard/soft mouthguard made for the lower teeth.

My child accidentally ate toothpaste. What should I do?

Ingesting a small amount of toothpaste is nothing to worry about. If your child is feeling a little queasy afterward, a glass of milk will help (as long as they are not lactose READ MORE
Ingesting a small amount of toothpaste is nothing to worry about. If your child is feeling a little queasy afterward, a glass of milk will help (as long as they are not lactose intolerant).

Can my silver fillings be replaced with white fillings?

If your fillings need to be replaced because they are broken or there is decay then have a discussion with your dentist about your options. I would not switch out a 'silver' filling READ MORE
If your fillings need to be replaced because they are broken or there is decay then have a discussion with your dentist about your options. I would not switch out a 'silver' filling unless there is a medical reason to do so. If it's not broke, don't fix it......

#2 tooth with deep cavity - why infected after filling?

Dear patient, It sounds like you were dealing with a bite issue all along. All your symptoms are indicative of a reversible pulpitis. An adjustment to your filling would have READ MORE
Dear patient,

It sounds like you were dealing with a bite issue all along. All your symptoms are indicative of a reversible pulpitis. An adjustment to your filling would have alleviated a lot of your distress. It is common for this scenario to happen when back molars are filled because the compression forces are at their strongest toward the back of the mouth. The clindamycin helped the inflammation, but chances are there was never an infection. Your grinding eventually made the necessary adjustments. Please do not extract this tooth, second molars are important!  
P.S. X-rays before and after treatment along with a visual exam would be the most accurate way to diagnose your condition.                     

Sincerely,                                   

Dr. Toumanios