Dr. Mitchell V. Karl D.D.S., Dentist

Dr. Mitchell V. Karl D.D.S.

Dentist

(2)
4 C Auer Court Williamsburg Commons East Brunswick New Jersey, 08816
Rating

4/5

About

Mitchell V. Karl, DDS, FAGD, maintains his own dental practice located in East Brunswick, New Jersey. Dr. Karl offers many services to his patients, including patients with TMJ/TMD dysfunction, headaches and migraines. Dr. Karl is dedicated to staying up-to-date with his technologies and procedures and has completed the Dawson Occlusal/Function program in St. Petersburg, Florida; as well as the Perfect Bite Therapy program in Utah. The specialized programs Dr. Karl attends are in addition to the annual University of Pennsylvania continuing education program that he has taken over the past 25 years at Jersey Shore Medical Center. As well as serving his patients at his practice, Dr. Karl is an affiliate at Robert Wood Johnson University Hospital in New Brunswick.

Education and Training

New York University College of Dentistry

Provider Details

MaleEnglish 39 years of experience
Dr. Mitchell V. Karl D.D.S.
Dr. Mitchell V. Karl D.D.S.'s Expert Contributions
  • 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 to seek professional help, versus waiting to see if the pain goes away as quickly as it came? The answer to these...

  • 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, how well you heal, and the amount of skill that the surgeon has that performs the treatment. Good luck. READ MORE

  • 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. READ MORE

  • 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 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. READ MORE

  • 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 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. READ MORE

  • 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 the reverse is not necessarily true. Many crowns are made without needing root canal treatment. READ MORE

  • 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 that the decay could form, and could then find its way underneath the veneer. So have your veneers checked periodically. READ MORE

  • 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, and rubber tip use are critical to your defense against bone loss and gum disease. READ MORE

  • 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 sleep. READ MORE

  • What happens if you don't have enough bone for dental implants?

    There is a procedure called bone grafting. You will need to consult with a dental surgeon to see if you qualify as a good candidate for this procedure. READ MORE

  • Is Orajel good for tooth pain?

    No. Orajel is meant more so for gum pain. READ MORE

  • How does the dentist treat sensitive teeth?

    The only answer to your question is that it all depends upon what the cause is for making the teeth sensitive to begin with. For example, if all of the teeth are sensitive to temperature, then there is a good possibility that the patient may be clenching and/or grinding their teeth. A night guard and a bite adjustment may be the solution for that problem. However, if only a specific tooth is sensitive, then the diagnosis can be any number of things. And depending upon the source of the sensitivity, the treatment and solution will vary greatly. There are desensitizing materials that can be applied to teeth to help with certain types of sensitivity. Some problems stem from abfractions, or ditches in the enamel usually near the gum line. These may require fillings to be placed. So again, your question is very open ended and you need to seek the advice of a dental professional in order to determine the source of the problem before a definite solution can be decided upon. And one must not forget that some sensitivities may not respond to the expected therapy suggested. Good luck in finding the solution to your particular problem with sensitivity. READ MORE

  • Why is my gum swollen around one tooth?

    There are a variety of causes for a swelling around a tooth. Some of the more typical reasons range from a periodontal infection, a root canal infection, a fractured tooth infection, or even just a foreign object or food particle lodged beneath the gum tissue. The only way to determine the real cause is to be evaluated by a dentist both visually and radiographically. That way, a proper diagnosis can be made and your situation can be treated appropriately. A small swelling can lead to larger problems, so my advice is to be seen as soon as possible. Good luck. READ MORE

  • What are the side effects of mouthwash?

    That question is very specific to the particular mouthwash that you are using. Some contain alcohol, which can be undesirable. Others can contain sugar or other undesirable ingredients. I suggest that you review the ingredient list, and ask your dental professional for further clarification. READ MORE

  • Should I still be in pain a week after a tooth extraction?

    It is a bit unusual for you to be in pain a week after the extraction had been completed. You may be experiencing a dry socket. That is a tooth socket that is not healing properly from within. You need to see your dentist in order to evaluate and treat this situation. The sooner you address this the sooner you’ll feel better. If the diagnosis is not a dry socket, then you may have another issue that needs attention from your dental professional. READ MORE

  • What could be the cause of front tooth pain?

    The most probable cause is tooth decay. This can be easily diagnosed by your dentist. An X-ray may be needed to determine if and how deep the decay may be. There are other reasons that a tooth may cause pain, and again, these would be explained by your dentist during your examination visit. My best advice is to seek care as soon as possible because a pain from decay will only lead to worse situations that may involve root canal therapy and/or extraction. You should consider dental pain as a warning being given to you that you have some type of problem that needs attention. In dentistry, as with most other health areas, things usually worsen over time. So, do yourself a favor and seek out treatment sooner than later. READ MORE

  • How do you clean under a dental bridge?

    The best method is to use a floss threader. It can be placed beneath the bridge with the floss looped into it. You pull it through and then rub the floss against the gum tissue beneath the bridge. You can use a thin rubber tip alternatively if there is enough room for it. See your dental office for hands on instruction. Good luck. READ MORE

  • Are dental bridges removable?

    A true dental bridge is not removable. It is cemented into place using the adjacent teeth as supports. Some lay people use the word dental bridge to describe a removable piece to fill in or missing tooth or teeth. You need to get clarification from your dentist as to which appliance is being made for you. The fixed, or cemented appliance is always preferred because it feels more like your natural teeth and doesn’t move around like a removable appliance tends to. You also don’t have to deal with removing it and replacing it again. READ MORE

  • What is a healing cap on a dental implant?

    The healing cap is something that the surgeon places on the implant once it has been exposed, usually after healing beneath the gums for a period of 3-6 months. The healing cap is used to keep the gum tissue from growing over the implant. The restorative dentist will remove the healing cap in order to take the appropriate impressions to make the crown that will either get cemented or screwed into the implant. While your final crown is being processed at the laboratory, the dentist replaces the healing cap for the same reasons of preventing the gums from over growing into and around the implant that is usually placed below the level of the adjacent gum tissues. In summary, the healing cap is a temporary piece that holds the shape of the gums around the implant itself. READ MORE

  • Why does my son keep getting cavities?

    The most probable cause is having multiple sugar attacks against his enamel throughout the day. Does he snack all day long? Does he chew sugared gum? Does he suck on candy or mints during the day? These are all things that could cause cavities in your pre-teen son. See your dental professional in order to delve further into the issue. With good oral hygiene and good eating habits, he should not be getting a mouthful of cavities at his hygiene recall appointments. READ MORE

  • Do fixed retainers stop teeth from moving?

    Basically, yes. The teeth included in the fixed retainer will not move. The other teeth in the mouth may still have some movement depending upon their positions with adjacent teeth, and even with their opposing teeth. READ MORE

  • Does having scratch marks weaken teeth?

    If you are referring to craze lines in the enamel, then they do not really weaken the enamel. Many people have craze lines for one reason or another. See your dentist to determine if the craze lines are due to a severe bruxism problem, or are just a normal wear and tear aspect of your teeth. READ MORE

  • Is heat good for wisdom teeth pain?

    Heat may actually be contraindicated if the pain you are having is from inflammation. It's best to see a dentist to determine if the pain is from the tooth erupting into the mouth, or if there is no room, then the pain may be indicative of other issues or problems. READ MORE

  • How do I keep my teeth clean with braces?

    It is very much a challenge to do so. It takes a lot of meticulous brushing and the use of a rubber tip device to reach the areas that the bristles of the brush cannot reach. Use whatever works best for you in order to reach as much of the "hidden" areas as possible. Good luck with your daunting task. READ MORE

  • Can I sleep in my dentures?

    Our office usually suggests to NOT sleep with your dentures in place. That allows the gum tissues an opportunity to get some direct oxygen instead of being constantly covered. There is a greater chance of getting sore gums as a result of leaving the dentures in place throughout the night while sleeping. Cleaning the denture depends upon what type of denture material was used by the dentist and the lab that processed the denture. You need to contact your dental office for the appropriate cleaning and soaking regiments. READ MORE

  • Is it possible to remove dark spots on my tongue?

    Dark spots on the tongue are usually not a cosmetic concern. If you have been seen by a dental professional, and infection or disease has been ruled out, then my suggestion is to leave the spots alone. There is a condition called "geographic tongue," which is a darker and lighter random pattern on the tongue. This is a normal anatomic condition for those that have it. Again, seeing your dentist to confirm that the spots do not represent anything other than a color difference is highly recommended. READ MORE

  • Is a wisdom tooth removal painful?

    The discomfort associated with any tooth removal is not necessarily experienced at the time of the extraction. The healing phase is when we feel the discomfort, and your dentist or surgeon will prescribe medications to assist you with that. Of course, any procedure can possibly cause some discomfort, but we usually have that under control with local anesthetic. If you are very nervous about the procedure, many oral surgeons will perform conscious sedation using IV drugs and medications. That may be a direction you might want to look into. Good luck with your 3rd molar extractions. Another factor that affects the degree of pain is whether the teeth need to be surgically exposed and removed if impacted, versus already erupted molars which may be easier and faster to remove and extract. Your dental surgeon will review all of this in advance of the procedure. Be sure to ask questions if you still have any at the time of consultation. READ MORE

  • How long does a dental filling procedure last?

    The amount of time needed for a dental filling is dependent upon the location of the tooth, the size of the decay or defect, and the type of filling material being used. Some filling appointments may take only 15 minutes, while more involve situations may require an hour or more. It is not possible to answer that question with any degree of accuracy without knowing more about your personal situation. In any event, the degree of success is very high for dental restorations in general. Your dentist will be able to tell you in advance how long he/she thinks the procedure will require to complete. Of course, circumstances may exist that allow for a faster or slower time needed to complete the restoration. In conclusion, there are no hard and fast rules regarding the amount of time needed to perform the dental procedure. But your dentist can give you a very close estimate under normal circumstances. READ MORE

  • Can I drink coffee after tooth extraction?

    We always suggest to not eat or drink until the anesthetic is worn off. It then doesn’t matter what you prefer to drink. Coffee is as acceptable as any other beverage. Good luck with your extraction. READ MORE

  • Should I put ice on the area my tooth was extracted?

    Initially, ice can be helpful in order to minimize swelling and inflammation. Soreness can be normal for 2-3 days. I would recommend you see the dentist if prolonged pain or bleeding occurs beyond 2-3 days. When using ice, do not place it directly onto your skin, and use for periods of 10-15 minute intervals. READ MORE

  • Can a decaying wisdom tooth cause headaches?

    It is not possible to confirm that you indeed have a decaying wisdom tooth without visual and/or radiographic examination. However, the direct answer to your question is that yes, it is possible for a tooth to be the source of frequent headaches. With that being said, my best advice is to seek a professional dental examination to determine the true source of your headaches, and to determine how badly decayed and/or infected is this particular tooth. Headaches have many sources, and the only way to start to find the cause is with a complete dental examination. READ MORE

  • Why are toothaches worst at night?

    The simplest explanation deals with the process of inflammation. One of the more probable reasons for your tooth pain is that either the pulp nerve tissue, or some of the surrounding tissue or structures are inflamed for some reason. The exact reason for the inflammation has yet to be determined. But when you lie down, the blood is allowed to pool nite readily in the head and neck region. This extra blood just adds to the already inflamed tissues in the area. When you are standing upright, gravity helps to drain blood from the area, thus decreasing the resultant inflammation. You still need to seek care as son as possible in order to find the source of the inflammation that is causing the pain. Good luck. READ MORE

  • How long does it take to fill 3 cavities?

    The number of teeth is not directly correlated to the length of the appointment. Three tiny single-surface cavities will be much quicker than three 4-surface fillings. The difference between those 3 cavity appointments could be 30 minutes or as much as 120 minutes! You need more information to determine how much time the visit will require. My best advice is to ask the dentist how long he expects you to be in his/her chair. READ MORE

  • Does cavity pain go away?

    The reason may be that the decay is getting deeper and approaching the pulp, or nerve of the tooth. Once symptoms begin, such as in your case, I suggest seeking treatment as soon as possible. The main reasons to seek care are to arrest the symptoms of your discomfort, and to hopefully treat the tooth before the decay gets too deep, thus requiring root canal treatment. Safe travels getting home, and see your dentist as soon as possible! READ MORE

  • How do dental onlays differ from crowns?

    An inlay conserves more tooth structure as compared to a crown. An onlay covers the cusps of a tooth, and is usually less costly than a full crown. A dental onlay can be thought of like a mini-crown. READ MORE

  • What kind of doctor should I see for TMJ?

    You should see a dentist that sub-specializes in TMD, or commonly referred to as TMJ. You can find appropriate doctors online, and read about their philosophy and credentials. Try to read some patient reviews if possible. Good luck in your search. READ MORE

  • How can I get rid of gum pain at home?

    Unfortunately, it is not a normal circumstance to have gum pain. This indicates that something is wrong. Even though you may not be able to visually see a problem in the mirror, it does not mean that you are not in need of professional attention to resolve gum disease, a gum infection, or even a tooth infection. Any of those can be the source of your gum pain. Therefore, in answer to your direct question as to what you can do at home to resolve your issue, I would say that you would be making an error in judgement by trying to do so. I cannot begin to imagine what the source of your gum pain is. Therefore, my recommendation to you is to seek dental care as soon as possible in order to avoid the situation from escalating into something more severe than it already is at this time. In this instance, self-diagnosis and treatment will surely lead to future pains, headaches, and heartaches. Good luck. READ MORE

  • How long does a dry socket last with medication?

    Dry socket is another name for incomplete healing following tooth extraction. The dry socket can last from 1-2 weeks depending upon the individual. Usually the paste medication is changed every other day or so until healing is far enough along to no longer require the medication in order to keep the patient comfortable. Every individual patient is unique in that the healing process can take different times for different people. Keep having the paste replaced until your dentist informs you that it is no longer necessary. READ MORE

  • Why do my gums bleed in the mornings?

    There is a very good possibility that you have some form of gum disease. It's not possible to determine from this limited information if you have the beginning stages of gingivitis, or a more advanced stage of periodontal disease. In either case, the disease is treatable with the help of your dental professional. You may only need to have a thorough cleaning, but you may also be in need of more comprehensive gum treatments. Try to see your dentist as soon as convenient in order to determine the extent of the disease and the measures necessary in order to treat it. Good luck! READ MORE

  • Can a cracked dental bridge be repaired?

    If you are referring to a removable bridge that you take in and out at night, then chances are good that it can be repaired. However, if it is a cemented bridge that remains in your mouth all of the time, then usually they cannot be easily repaired. If it were a temporary bridge, then that could easily be repaired. As you can see, it is vitally important to seek professional dental treatment to determine what type of bridge you are referring to, as well as what it will take to either repair or replace the cracked bridge. Try to see your dentist before the situation worsens. READ MORE

  • Can teeth whitening treatments damage teeth?

    Teeth whitening is generally very safe. Most patients respond with little or no subsequent sensitivity to temperatures. For those that do, the sensitivity is usually very transient and resolves within days at most. Of course, there are always exceptions where some patients find the sensitivity to temperature changes following bleaching treatments to not be tolerable for them. This is the main reason why we suggest using at-home bleaching trays instead of the in-office whitening procedures. The patient has more control, and can tailor the bleaching process to their own needs and likes. Good luck with your bleaching. READ MORE

  • Can bad breath be caused by dental issues?

    Bad breath can be caused by numerous different things. Biologically it is a sulphur release that causes the odor. But some of the sources may be a post nasal drip, a dental infection in either the gums OR the teeth, remnants of various foods, or even medication induced odors. Sometimes there is a plaque layer that develops and grows on the tongue. It may not be easy to determine the true source in your particular case, but try to eliminate the ones mentioned first. If unsuccessful, visit the dentist to eliminate any growing bacteria or infection somewhere in you mouth. By the way, some people subscribe to brushing your tongue exactly for this reason! READ MORE

  • A huge gap in dental treatment. What should I expect?

    The only way to answer that is to be prepared to expect the unexpected! This is a double edged sword that can go either way with regards to you needing a lot of dental treatment, or needing only minimal treatment. I don't know which would be more surprising to you. But since you don't seem to be in any pain or discomfort, chances are that routine maintenance is necessary. Good luck, and get to your dentist sooner than later! READ MORE

  • Are ayurvedic toothpastes better than flouride?

    Flouride has a proven scientific record of helping the population control the extent of dental caries. Some people "believe" that fluoride is harmful to humans. It is true, that too much flouride intake is not recommended either, but you only ingest very minute amounts of toothpaste when brushing your teeth. I am familiar with one holistic toothpaste, called Tom's of Maine. I know that there folks that do well with its use. As far as being "better" than a flouride toothpaste, I cannot say that it's comparable. I believe that flouride has helped the population keep dental caries under better control than without it. If you are an individual that has a very low caries index, then the ayurvedic toothpaste may be just fine. But if you are prone to acid and sugar attacks and get cavities frequently, then I think that the flouride toothpaste would be in your best interests. READ MORE

  • My crown fell out. What should I do to protect?

    If you can easily place the crown back into your mouth, you may be able to recement it using an over-the-counter product until able to see your dentist. Otherwise, unless you are out of the country, I would seek dental help as soon as possible. A crown that is left out of the mouth for a few weeks, may allow the tooth to move. If that occurs, the crown will need to be adjusted at best, and remade as a worst case scenario. Try to be careful as to not swallow the crown IF you replace it into your mouth in the interim. Try to seek dental treatment as soon as feasible for you, and for the best chances of everything being able to be put back where they were previously. READ MORE

  • Does novocaine have any side effects?

    The only side effect from dental anesthesia is the numbing sensation of the surrounding areas. This may last from 1-5 hours, depending upon the anesthetic used and the biochemistry of the patient. There are times when epinephrine is inadvertently placed into the bloodstream that would result in an epi rush. The symptoms are a racing heart, feeling light headed, shaky hands/feet. This will dissipate within 5-15 minutes. Those episodes are rarely encountered, but do occur on occasion. The administration of “dental Novocaine” is not something that I believe you should be concerned about. It is very predictable and routine. Best of luck with your procedure. READ MORE

  • Should I seek a periodontal consultation for my bleeding gums?

    The short simple answer is to see ANY dentist for an evaluation. Chances are that you are inflamed and in need of a professional dental maintenance treatment. But there are other reasons for bleeding gums, which are too diverse to discuss in a simple response like this. In any event, depending upon the diagnosis will determine IF a periodontist or other dental specialist is necessary for consultation. So seek out a dentist to evaluate your situation and “get the ball rolling”!! READ MORE

  • What could happen when I get my gum surgery?

    In answer to your concerns, your dentist/periodontist should thoroughly discuss all of these issues in advance of the surgery. That being said, the main issues after periodontal surgery as the patient, is the soreness and healing of the wound. There is little need to be concerned about surgical failure, because most gum surgery has a very high success rate. And your situation sounds as if it is relatively straight forward. Ironically, the area that may annoy you the most is the donor site of the graft. Those areas sometimes turn out to be the most uncomfortable of all the sites that were worked on. You should be back to normal within a few days to a week. Again, your surgeon should be able to address these issues and allay your concerns. Good luck with your procedure, and don't look back. READ MORE

  • Are braces the only way to fix buck teeth?

    Physical braces, brackets, rubber bands, and wires are the most controllable technique used by orthodontists today. Those tools allow them to have full control over your orthodontic case. But many adults prefer to use the Invisalign tray system when they are an appropriate candidate for that technique. You, the patient, must wear multiple sets of trays that are custom designed at the Invisalign laboratory. Your dentist will monitor your case during the exchange of tray sets. I have been told that there may be some obstacles to obtaining an excellent end result due to the limitations that the tray system inherently has. The solution is to have the orthodontist place finalization brackets for a short time in order to complete your case to its best possible end. But you need to be under the care of an orthodontist in order for this to be done. So, be aware of that potential situation before having a non-orthodontist specialist take charge of your treatment. Good luck with your ortho therapy. READ MORE

  • My tongue is white. Is this really bad?

    There are many possible explanations for the white coating on your tongue. The best advice is to seek a dental professional to observe your tongue, and take a history of when the coating had first developed or had been noticed. The doctor will want to know how long you have had the coating. Also, did you try brushing your tongue with your toothbrush? Does that cause discomfort? These are some of the things that you should be prepared to answer when seeking professional advice about the tongue coating. Good luck. P.S. You may want to seek the advice of an oral surgeon as a second opinion regarding your tongue, depending upon what your primary dental professional had told to you. READ MORE

  • Why does a cracked tooth have to be pulled?

    If you have a fracture that extends into your tooth, then there is no possible way to repair that tooth. That is the reason why it would need to be extracted. However, it should be confirmed that the crack actually extends far enough into the tooth to render it non-restorable. Some cracks can be treated with root canal therapy and saved. Others may need to be restored with a full-coverage crown restoration. The only way to determine if your tooth is hopeless or can be saved is to have it evaluated by your trusted dental professional. And don't forget, you are always welcome to seek out a second opinion if you're uncertain about your first diagnosis for some reason. READ MORE

  • Do I always need a crown with a root canal?

    The short answer is NO. But each situation needs to be evaluated based upon its own circumstances. Some of the factors that comprise the final decision are how much of the tooth was destroyed as a result of needing the root canal treatment; how much force does the root canal tooth receive from chewing, which is determined by where in your mouth the tooth is located; but it also depends upon the condition of adjacent teeth, and their ability to function effectively. As a general rule, most molars are best suggested to be covered with a crown following root canal therapy. But every rule has its exceptions. And in any event, you should be informed of the risks versus rewards of placing the crown or not on the root canal treated tooth. Your dentist should be able to supply this information for you. Good luck with making the correct decision in your specific circumstance. READ MORE

  • My front tooth just cracked. How can it be fixed?

    A lot depends upon how far into your tooth the crack actually extends. If it is an enamel craze, very minimal treatment may be necessary. But if it is the beginning of your tooth actually breaking apart, then a completely different course of treatment is indicated. So as in most cases, you need to be visually seen and evaluated to determine the appropriate therapy for the crack that you noticed. You can always seek a second opinion if you are leery of the diagnosis received from your first exam. But doing nothing at all will probably lead to more involved treatment. Dental treatments only worsen over time; it is extremely rare for a dental problem to resolve on its own. READ MORE

  • What can sensitive teeth mean?

    There are numerous possible reasons for you sensitivity. If it refers to multiple teeth, the first thing that comes to mind is bruxism. You may be in need of an oral appliance to be worn while sleeping. An accurate diagnosis cannot be made from your question without physically being seen and evaluated. I suggest that you see a trusted dental professional at your earliest convenience. Tooth decay is also responsible for temperature sensitivity. But the chances for multiple teeth having severe decay is usually minimal; unless it has been a long time since you last sought dental treatment and evaluation. READ MORE

  • How do I know if I need a root canal?

    Symptoms for root canal can vary widely. Usually a painful tooth has a source of pain that can be resolved by any number of appropriate therapies. Because the sources of pain are so broad, the only way to determine the source is to seek dental care as soon as possible. Do not forget that even if the pain resolves on its own, this may be a temporary state that will lead to even worse consequences in the future. It may turn into a ticking time bomb waiting to explode, usually at the most inconvenient time possible. You really need to be seen by a trusted dental professional as soon as possible in order to avoid the potential for more pain and discomfort. Good luck. READ MORE

  • What are the side effects of teeth whitening?

    All bleach formulations that are FDA approved are safe to use. The only real side effects are some temperature sensitivities. These are not experienced by most people, but they are also not uncommon. They usually resolve after stopping the bleaching process. In our office we prefer to use the at-home bleach procedure exactly for this reason. The patient has full control of how often and how long to use the bleach. There are also desensitizing agents available to help with those who may develop some temperature sensitivity. Otherwise, there are really no other known side effects that are detrimental. You should not hesitate to bleach your teeth under the supervision of a dentist. READ MORE

  • Why does my breath smell even after brushing my teeth and using mouthwash?

    Most causes of bad breath are a result of either bacterial material lodging in the tongue, or from an acid or substance coming up from the esophagus. Try to determine the source of the odor, and then remedies can be offered. Do you possibly have less than a normal salivary flow due to medications? Possibly try a different mouthwash rinse as well. Try to brush your tongue, and rinse with something that can destroy bacteria and their odors. READ MORE

  • Why are my father's gums swollen?

    The possibilities range from an inflammatory problem of his own gum tissues, through medications that could have that same affect on the gingival tissues. He should present for an examination to try to figure out the "puzzle". Too many possibilities exist to actually formulate a list. He could also be experiencing an allergic reaction to a food or drink substance. READ MORE

  • Will being on a liquid diet affect my teeth in any way?

    There usually would be no direct affect on your teeth, unless you were to be drinking an acidic formulation. The acid could erode the enamel. So try to do some research about what exactly the liquids on your diet contain. READ MORE

  • Why do I have a metallic taste in my mouth?

    A metallic taste may be the result of something that is being released from your own teeth due to clenching and/or grinding. But it can also be related to a medical issue. You should be seen by either a dental professional or medical doctor to further look into what the source of your metallic taste is coming from. READ MORE

  • Are my medications staining my teeth?

    Medications alone usually do not stain teeth. But that's not to say that you are having a unique reaction to one or more of the medications that you are taking. You can mention to the physician that prescribed the medication about your concerns, and/or possibly see a dentist to see exactly what type of stain you are actually experiencing. Need to recheck about the iron tablets. READ MORE

  • Why do I have sensitivity in all my lower teeth?

    The causes of sensitivity are very broad. The best way to begin to find the answer is to schedule yourself for a complete dental examination to zero in on the possibilities. Some possibilities include clenching/grinding, erosion, dental infection of the nerves of the teeth, or even an incorrect bite. They are all very different, but they also could lead to the same symptoms of sensitivity as an end result. READ MORE

  • Is it bad that I leave food in between my teeth?

    Leaving food between the teeth is inviting both dental decay and periodontal disease to attack your dentition. You should try your best to remove any and all food particles from between your teeth after each meal and/or snack. If your teeth are not contacting each other correctly, and the spaces are allowing food to get packed between them, then you may need some dental treatment to repair that problem. READ MORE

  • I have a boil on my gums. What should I do to treat it?

    You need to see a dentist as soon as possible because your "boil" may be the result of a dental infection. This will not resolve on its own. There are different sources for the swelling to occur, and your dentist should be able to help you to determine the source. READ MORE

  • Do teeth get affected during pregnancy?

    Mostly it’s the gums in a pregnant woman that show signs of inflammation. Some women find more bleeding when brushing, flossing, or using a rubber tip stimulator. Some of the reasons are probably hormonal, and you can only try to control the inflammation as best as possible. The gums themselves are usually not detrimentally affected by the pregnancy. Best of luck to you and your baby. READ MORE

  • Can braces get rusted?

    Rusting if metal braces is not common. You may be developing plaque and tartar accumulation on the brackets. Or you may have been treated with a defective set of brackets. Either way, you should visit your dentist for him/her to check out what you are seeing. READ MORE

  • My son is a year old, and isn't teething. Is this abnormal?

    It’s a bit delayed as compared to average. But it doesn’t necessarily mean that there are no tooth buds waiting to erupt. Just s but later than expected. However, the possibility exists that no baby and/or permanent teeth exist as a result of an abnormality during pregnancy. A dental radiograph can confirm the presence or absence of teeth for your child. You may want to consider some type of x-ray for peace of mind. Good luck. READ MORE

  • Can water cause my teeth to discolor?

    My initial feeling is that tap water has no effect upon discoloring teeth. However, anything is possible. You should find out the chemical constitution of your water supply. Then be sure to analyze whether you had coincidentally begun any new medications or anything new or different from your past routines. We sometimes find out some very surprising answers when we take the time to closely analyze our routines and habits. READ MORE

  • Is it okay to swallow the gel applied for a mouth ulcer?

    Most probably yes, but try not to make a habit of ingesting anything that is not meant to be ingested. There are usually warning remarks on the label of the product that explains if swallowing it is dangerous. Some are meant for only external use and sores. READ MORE

  • 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 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. READ MORE

  • 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 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. READ MORE

  • 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 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. READ MORE

  • 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 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. READ MORE

  • 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 meds may be effective. READ MORE

  • 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. READ MORE

  • 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

  • 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 the bloodstream directly. Talk about your concerns, but they sound as if fabricated by yourself for whatever the reason. READ MORE

  • 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. READ MORE

  • 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 veneer laminates. READ MORE

  • 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 between the 2 front teeth. See your dentist for a proper diagnosis and treatment options. READ MORE

  • 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. READ MORE

  • 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. READ MORE

  • 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 office. READ MORE

  • 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. READ MORE

  • 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. READ MORE

  • 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 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. READ MORE

  • 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 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. READ MORE

  • 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 visual examination is necessary in order to properly diagnose what your problem stems from. READ MORE

  • 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 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. READ MORE

  • I had a root canal and the area still hurts. Is something wrong?

    Definitely go back to the dentist as soon as possible. You may need a simple bite adjustment, or you may have a reinfection of the tooth. Your situation may not improve with time, so I suggest being seen as soon as feasible. READ MORE

  • What is the best way to treat dental plaque?

    Simply put, dental plaque needs to be physically disturbed and removed. That is accomplished with proper brushing of the teeth, and using something like floss and/or a rubber tip stimulator to remove plaque build up between the teeth. Some people accumulate plaque at a much faster rate than others, usually as a result of salivary content. If you are one of those folks, then you will need to work that much harder to try to control your plaque accumulation as compared to individuals that do not tend to build it up either so quickly or so heavily. Good luck. Seek out the proper techniques for brushing, flossing, and rubber tip use from your dental professional or hygienist. I recommend automatic brushes for those who cannot easily or effectively manipulate the manual brush for whatever reason. READ MORE

  • How long will I have to wait for my next session after first round of root canal?

    As long as your infection is now under control, there is no magic time period that needs to be met for the next appointment. We usually wait a minimum of 7-10 days, and not longer than necessary beyond that. Waiting for months is not recommended. READ MORE

  • Is teething delay in children normal?

    No need to panic. Average tooth eruption is exactly that: “average”. There are many children that get their teeth much earlier or later than the “average” time schedule. Your child is still within the time frame of not needing to be concerned. If another 6 months go by without any tooth eruption, then something out of the ordinary is probably occurring. READ MORE

  • My gum hurts where my wisdom tooth was taken out. Is this normal?

    That does seem to be a rather long time. But as long as no infection exists, it could be a very slow healing site for whatever reason. I would suggest having the surgeon evaluate that area to confirm that there is nothing “abnormal” occurring. READ MORE

  • Can you suggest some way to reduce sensitivity?

    It really depends upon the source of the irritation. The only way to assess that is to have an examination and verbal discussion as to your specific circumstances. There are many possible reasons and causes of your sensitivity. Some are more easily resolved than others. READ MORE

  • What is this brownish tinge on my teeth around the gums?

    Some of the more common possibilities include plaque or calculus accumulation, intrinsic stain not seen previously due to minor gingival recession, or even the development of decay. Visual exam is necessary to determine the difference between the various options of diagnosis. READ MORE

  • Can I do teeth whitening with a front half fake incisor?

    We actually suggest to bleach your teeth first, before making the crown. Then the shade for the crown can be selected based upon the new bleach shade. A crown does not respond to bleach as natural teeth do. And certain bleach techniques MAY even be able to bleach out the broken tooth to “catch up” to the adjacent teeth with regards to shade. READ MORE

  • What causes swelling in the gums?

    Too many possible reasons to list. You should be checked by a dentist, probably sooner than later. READ MORE

  • Are OTC products recommended for teeth whitening?

    Some OTC bleach products do indeed work. Some have limitations as to how many teeth are covered, and some just simply work as well as others. I only “recommend” self treatment if I have already cleared the patient for safe bleaching. Be aware that if you proceed without being checked by your dentist first, you are doing it at your own risk. There can be unforeseen consequences as with any unsupervised “treatment“. READ MORE

  • What is the course of treatment for periodontitis?

    The course of treatment depends upon the severity of the disease process. Some people will only require deep cleanings and proper home care. Others may require surgical intervention. And some people may need some extractions if the tooth or teeth are beyond saving. You can always obtain a second opinion if you have doubts regarding the course of treatment that your dentist proposed or recommended. READ MORE

  • My tooth infection keeps coming back. Can it signify something more serious?

    It very well may be. You should seek the advice and assistance of a Dental professional. When you say the infection keeps coming back despite treatment, that leads me to believe that you are currently under the care of a dentist. If you are, and your dentist cannot provide either the appropriate treatment to resolve the issue, or an acceptable explanation as to the cause of your issue, then I would seek a second opinion from another dentist. READ MORE

  • Braces

    It’s all a matter of degree of severity. Usually a single tooth out if position does not indicate a “need” for braces. It also depends upon how your teeth meet together when you bite. A single “crooked” tooth may just be a cosmetic concern, but it depends upon what else is going on at the same time. READ MORE

  • Loose tooth

    You should have an X-ray taken as a means of comparison of the tooth between now and in the future. You may need a temporary splint to allow the tooth to firm up and stabilize. If pain persists, you need to be diagnosed for a possible fracture of the root, or for irreversible trauma that might require root canal treatment. Only a qualified dentist can make these evaluations and diagnoses for you. So, call and get seen as quickly as possible. Good luck, and definitely do not try to self-diagnose yourself. Mitchell Karl, DDS READ MORE

  • Can a toothpaste help with tooth sensitivity?

    Yes it is possible. But it is even more possible that another reason may be the source behind your sensitivity. A knowledgeable dental professional needs to be consulted. You may have an incorrect bite that causes trauma to your teeth, making them sensitive to temperature changes. You also might be either clenching and/or grinding your teeth either at night when sleeping, or even during the day. You can try the toothpaste first, but if symptoms persist, seek out a dentist who can diagnose these issues. READ MORE

  • What are the most visible signs and symptoms of a gum disease?

    Very simply, red puffy gums is the first sign of gum disease and infection. The gums should always look pink and firm. There should be no bleeding at all when either brushing, flossing, or using any other interdental device. Sure, anyone can accidentally cut the gums, and that would bleed for a few days, but anything more constant could be signs of a potential problem. READ MORE

  • What is the reason behind tooth sensitivity?

    Many different possibilities are behind tooth sensitivity. One may be neural pain that usually is continuous. Root canal therapy may be necessary. Occlusal trauma is also a possible cause of tooth sensitivity. Another reason could be that you have a loose or leaking old restoration. You need to see a dentist in order to determine the true source of your dental sensitivity. Good luck! READ MORE

  • Can a gum infection pass to other parts of the body?

    Any infection in the body can spread elsewhere. if untreated. Be sure to treat any known infections without delay to avoid the spread of any infections and/or inflammations. READ MORE

  • How can I reverse yellowing of my teeth?

    If you are only 27 years old, you should probably get some custom fit bleach trays made, and bleach as necessary to maintain the shade that you are happiest with. The home bleaching regimen is the most cost effective option, and it also allows you to maintain control of the final shade. Good luck, M. Karl READ MORE

  • Brushing too hard?

    I have some issues with what you were told. First, our main concern about patients brushing too hard with a stiff brush, is the potential to wear away some of the thinner enamel that exists near the gum line. The gum line does not usually recede as a result of scrubbing or brushing too vigorously. Gum recession is usually more related to either gum disease or occlusal trauma from an uneven bite. With regards to the electric brush, I strongly recommend them to people with manual dexterity issues. But the manual brush can accomplish the same affects as the electric brush if used properly. You should always use a brush with soft bristles, and gently brush both the teeth and the gums where the teeth emerge from. READ MORE

  • Biting down on side of cheek when eating

    It sounds as if you have a chronic swelling from continued biting of the affected cheek area. There may have been some shifting or movement of the teeth that would lead to this problem. It may be possible to reshape some of the teeth that are causing you to bite your cheek. We would try to have the cheek deflect off of the teeth, instead of getting caught between them. Good luck with your treatment. Mitchell Karl READ MORE

  • Food getting stuck behind wisdom teeth

    You basically have three options. One would be to extract the third molar, thus eliminating the problem completely. The second option is to remove the flap of gum tissue under which the food gets lodged. This may or may not grow back over time. So it is not as predictable as the extraction option. Lastly, depending upon how often and to what degree the food collection occurs, you could try debriding the area with instruments like a rubber tip and/or water pik, and then select one of the other options if your problem continues. One last thing, you should allow your dentist to visually check the area to confirm that a gum infection has not developed as a result of the food impaction. READ MORE

  • Is water-flossing as effective as regular flossing?

    Water flossing is effective to remove large particles of food from between the teeth. It does not effectively remove the plaque layer that flossing can physically remove. I prefer to use a rubber tip stimulator between the teeth to both remove the plaque layer AND stimulate the gum tissues simultaneously. Also, only one hand is needed to use the tip, versus two hands to use conventional flossing techniques. The use of floss picks help to resolve this issue, but I still prefer the use and advantages of using the rubber tip. READ MORE

  • I can't fix my teeth sensitivity. What do I do?

    There may be many different reasons for your tooth sensitivity. A complete dental history and examination would be needed in order to answer your question with any degree of accuracy and to offer meaningful suggestions. Feel free to contact our office if you want to pursue this further. Thanks. READ MORE

  • Clicking in my jaw

    It is one of several options of "normal" things to do. You can also seek the expertise of a dentist trained with TMJ/TMD experience. You can read our web page for more information as to how we handle jaw popping, clicking, and pain. Good luck. READ MORE

  • Very swollen and red gums after routine dental cleaning

    You should call your dental office to be seen again. It is not possible to diagnose your situation without a visual exam. The list of possible reasons are too broad to give an answer that has any real accuracy. So call your dental office and request to be seen. READ MORE

Areas of expertise and specialization

Migraine TherapyTMJ

Professional Society Memberships

  • American Dental Association, New Jersey Dental Association

What do you attribute your success to?

  • Paying Attention to Detail and Individual Patient Needs, Staying Up to Date, and Continuing his Education

Hobbies / Sports

  • Golfing, Golden Retrievers

Dr. Mitchell V. Karl D.D.S.'s Practice location

4 C Auer Court Williamsburg Commons -
East Brunswick, New Jersey 08816
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New patients: 732-254-6669
Fax: 732-238-0729

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Dr. Mitchell V. Karl D.D.S. has a rating of 4 out of 5 stars based on the reviews from 2 patients. FindaTopDoc has aggregated the experiences from real patients to help give you more insights and information on how to choose the best Dentist in your area. These reviews do not reflect a providers level of clinical care, but are a compilation of quality indicators such as bedside manner, wait time, staff friendliness, ease of appointment, and knowledge of conditions and treatments.

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Head north on Auer Court 520 ft
Turn left 106 ft
Turn right onto Summerhill Road (CR 613) 1284 ft
Continue onto Summerhill Road (CR 613) 344 ft
Turn left onto Rues Lane (CR 617) 3565 ft
Turn left onto NJ 18 5.6 mi
Take the ramp on the right onto NJ 172 2545 ft
Keep right at the fork 1699 ft
Keep left at the fork 1756 ft
Keep right at the fork 571 ft
Go straight onto Albany Street (NJ 27) 2120 ft
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