html    head  title 500 Internal Server Error  title   head    body    center  h1 500 Internal Server Error  h1   center    hr  center nginx 1.29.3  center     body     html

Oral Exams

At the office of Paulussen Dental, we take a practical, preventive approach to oral health. Regular oral exams are the cornerstone of keeping teeth, gums, and surrounding tissues healthy for a lifetime. By combining careful clinical assessment with modern diagnostic tools and patient education, we help patients avoid small problems turning into more involved treatment needs. Our preventive services include thorough examinations, professional cleanings, and oral cancer screenings, plus personalized guidance on daily hygiene and nutrition.

How Your Initial Oral Exam Lays the Groundwork

Your first visit is an opportunity for our team to build a clear picture of your oral health history and current needs. We begin with a review of medical and dental histories, medications, and any concerns you bring to the exam. This conversation helps us tailor the exam to your situation and identify risk factors that may influence care decisions.

The clinical portion of the initial exam includes a full-mouth inspection: teeth, gums, tongue, palate, and the soft tissues of the mouth. We perform an oral cancer screening and evaluate periodontal (gum) health and bite relationships. Our assessment also includes an evaluation of TMJ function and any signs of bruxism, wear, or unusual bite patterns.

When needed, we recommend appropriate diagnostic images to look beneath the surface. After the exam and imaging, we summarize our findings, explain any areas that need attention, and outline options for maintaining or improving your oral health. The goal is a clear, practical plan you understand and feel comfortable with.

 html    head  title 500 Internal Server Error  title   head    body    center  h1 500 Internal Server Error  h1   center    hr  center nginx 1.29.3  center     body     html

Oral Health and Whole-Body Wellness

Oral health is tightly connected to overall health. Conditions of the mouth can reflect systemic issues, and conversely, chronic medical conditions can show early signs in oral tissues. During a routine oral exam we look for patterns that suggest broader health concerns so patients can receive timely follow-up with their medical providers when appropriate.

Research continues to reveal links between oral disease and systemic conditions such as digestive and respiratory disorders, cardiovascular disease, stroke, diabetes, and neurological concerns. While each patient’s situation is unique, detecting inflammation, infection, or unusual oral lesions during an exam provides valuable clues about possible health risks.

Understanding these connections helps us prioritize preventive measures and early interventions. For example, controlling gum inflammation and reducing oral bacteria are meaningful steps that can support general health, not just protect teeth. Our exams are intended to be an early-warning system as much as a dental checkup.

 html    head  title 500 Internal Server Error  title   head    body    center  h1 500 Internal Server Error  h1   center    hr  center nginx 1.29.3  center     body     html

Small Habits, Big Impact: Why Regular Checkups Matter

Consistent checkups and professional cleanings keep plaque and tartar from damaging teeth and gums. Even the most diligent home care can miss tight spaces and complex surfaces; professional hygiene removes hardened deposits that contribute to cavities and periodontal disease. Routine visits also give us a chance to update preventive care strategies and reinforce effective home routines.

We typically recommend periodic exams at intervals based on individual risk—many patients benefit from twice-yearly visits, while others with specific needs may require more frequent monitoring. Regular appointments let us track changes over time, catch problems early, and intervene when treatment will be simpler and less invasive.

These visits are also an opportunity for practical education. Our hygienists demonstrate techniques tailored to your anatomy and recommend tools—such as floss types, interdental brushes, or powered toothbrushes—that make daily care more effective. For children, routine exams are essential to establishing healthy habits and monitoring dental development, including early signs that orthodontic evaluation may be helpful.

Seeing Beneath the Surface: Modern Dental Imaging

Visual inspection is essential, but diagnostic imaging reveals what the eye cannot. Dental x-rays show the deeper anatomy of the teeth, roots, and surrounding bone and are an important part of a comprehensive oral exam. Images help us detect decay between teeth, evaluate bone levels, and identify issues that have not yet caused symptoms.

Today’s dental imaging is predominantly digital, which reduces radiation exposure and provides immediate, high-resolution images. Digital radiographs integrate with patient records so images can be reviewed at the chair, compared over time, and shared with specialists when collaborative care is needed. This speed and clarity improve both diagnosis and communication.

Beyond traditional x-rays, three-dimensional imaging such as cone-beam computed tomography (CBCT) can be used when detailed views of jaw structure or root anatomy are necessary. These tools are employed selectively for complex diagnoses and treatment planning, including implant placement and certain surgical procedures.

 html    head  title 500 Internal Server Error  title   head    body    center  h1 500 Internal Server Error  h1   center    hr  center nginx 1.29.3  center     body     html

Which Radiographs We Use and What They Reveal

The type of image we recommend depends on the clinical question. Periapical x-rays focus on the entire length of one or more teeth and the adjacent bone, making them useful for evaluating root health and localized problems. Bitewing films capture the upper and lower crowns and are particularly effective at detecting decay between teeth.

A full-mouth series combines periapical and bitewing images to provide a comprehensive baseline view of a patient’s dentition. Panoramic films offer a broad two-dimensional view of the jaws and teeth and are helpful for assessing impacted teeth, tooth development, and general jaw health. Cephalometric studies provide a lateral profile view often used in orthodontic planning.

When three-dimensional detail is required, CBCT delivers cross-sectional views of the jaws, nerve pathways, and sinuses. This precision supports accurate diagnosis and safer, more predictable surgical planning. We select imaging that provides the information needed while minimizing exposure, and we explain the reasons for each recommendation so patients can make informed choices.

Our approach to imaging and exams is practical and patient-centered: use the right tools at the right time, interpret findings in the context of overall health, and discuss clear, achievable next steps. If you have questions about what to expect at an oral exam or which x-rays might be recommended for you or a family member, contact us for more information.

Frequently Asked Questions

Are you accepting new patients?

+

Yes. We always welcome new patients and their families for care. Feel free to give us a call or reach out to us online to schedule a first visit or for any additional information on our office. We look forward to hearing from you!

How often do I need to get a dental checkup?

+

Routine dental checkups and professional cleanings help ensure your smile remains in tip-top condition and that any developing problems receive the prompt care they require. While it's a good idea to schedule a checkup and cleaning twice a year, longer or shorter intervals between routine visits depend on your specific needs.

What if I haven't been to the dentist in a long time?

+

We understand that life gets complicated and busy, and for various reasons, you haven't been able to get to the dentist for care. Don't worry; it's always a good time to get back in touch with the health of your smile.

At Paulussen Dental, we offer skilled and compassionate care to address a wide range of dental needs. Whether you need a simple checkup and cleaning, restorations, periodontal treatment, root canal therapy, or the replacement of missing teeth to get your smile back into shape, we provide precise, gentle, stress-free treatment to give you a smile that is as beautiful as it is healthy.

Give us a call today; we're happy to address all your questions and concerns about getting your smile back in tip-top condition.

Should pregnant women get a dental checkup?

+

For pregnant women, practicing good oral care and seeing the dentist to maintain a healthy smile is considered an important component of prenatal care. Researchers have found that pregnancy not only increases the risk of oral health problems, but these problems may also lead to pregnancy complications. At the office of Paulussen Dental, we provide the skilled and compassionate care required to help expectant mothers keep their teeth and gums in tip-top condition. While certain procedures are not recommended during pregnancy, we provide the necessary care and take all the necessary precautions required.

How can I improve the appearance of my smile?

+

Thanks to advances in modern dentistry, teeth that have been affected by a range of imperfections or that have sustained damage from trauma or dental decay can be restored to produce a naturally beautiful looking and functional smile.

As skilled and experienced providers of care, our office can effectively improve and enhance the appearance of teeth that are stained, discolored, misshapen, chipped, fractured, gapped, crowded, or broken down due to dental decay. At the office of Paulussen Dental, we offer a comprehensive selection of the leading-edge cosmetic solutions from teeth whitening procedures, dental bonding, tooth-colored fillings, and veneers, to prosthetic solutions and dental implants to rebuild complete and beautiful smiles.

Contact our office to learn more about the many ways we can help you create the smile you've always wanted.

How should I prepare for my dental appointment?

+

If you're visiting Paulussen Dental for the first time, it is helpful that you contact your former dental office and have your records sent over to us. Make note of any problems you may have so that you can discuss them with your dentist.

To provide efficient service, we ask you to please bring your insurance card, an ID, plus any referral slips or diagnostic records given to you by another office. If you are taking medications, please note or make a list of what they are as you will need to provide that information.

Does Paulussen Dental treat patients of all ages?

+

Yes! We assure you that both you and your family will be in good hands at the office of Paulussen Dental.

What if I'm anxious about seeing the dentist?

+

We do our best to make sure every patient who steps into our office for care is put at ease. We provide precise and gentle care and our skilled, compassionate team strives to make every visit stress-free. You can rest assured that your smile is in the best of hands and that we are doing all we can to ensure your comfort throughout every procedure. While we always take the time to explain every step in care, feel free to ask us any questions about local anesthesia and methods of dental sedation.

How much does dental treatment cost?

+

At the office of Paulussen Dental, we strive to provide the highest quality of care to address all your dental needs. Once we've had the opportunity to examine your smile, we can give you a clear picture of any dental issues that are present, along with a quote for what the cost of treatment will be. The cost of care all depends upon the extent and complexity of issues affecting the health or appearance of your smile and the types of procedures that are required. Our goal is to make dental care more affordable so that you can begin treatment without any additional stress or delay.

Keep in mind that with routine dental checkups and periodic care, we can help prevent dental disease while treating emerging problems early in their onset to avoid larger issues and more expensive care down the road.

What if I have dental insurance?

+

Routine dental checkups and preventive care procedures may be covered under your dental insurance plan requiring little to no out-of-pocket expense. We invite you to check our financial information page or give us a call to find out if our office participates with your plan, and if you have any other questions about dental insurance, dental savings plans, forms of payment, or financing options. We welcome your inquiries and do our best to help you begin care without additional stress or delay.

What is the best method of replacing missing teeth?

+

If you've lost a tooth due to injury, decay, gum disease, or any other reason, we recommend dental implants to replace missing teeth. Dental implants come the closest to replicating the look, feel, and function of your natural teeth.

Is flossing as important as brushing?

+

Absolutely! Both flossing and brushing regularly are equally important to maintain your oral health. While brushing cleans the surface of your teeth, flossing cleans in between them. Flossing is important to prevent plaque buildup, which can cause gums to recede and lead to periodontal disease.

Do you still need to see a dentist if you have dentures?

+

Even if you have dentures, it is still necessary to see a dentist! Dental checkups help ensure that your dentures are comfortable, fitting properly, and that there are no other problems. Beyond assessing your dentures, our dentist will also perform a thorough examination of the jawbone, and surrounding soft tissues both inside the mouth, the face, and neck, to confirm that you remain in good oral health.

What should I do if I have a dental emergency?

+

Emergency dental care is a service we hope you'll never need- but if you do, the office of Paulussen Dental is here for you!

Whether you're suffering from a chipped tooth, toothache, or any problem affecting your oral health, you can be sure to get the prompt attention and compassionate care you require at our office. Patient care and comfort are our top priorities, and we offer a comprehensive range of the most advanced services to address a broad spectrum of dental needs.

While the pain of a toothache is one of the more common reasons that patients come to our office for emergency dental care, we also promptly treat emergencies that are not necessarily painful like crowns that have been dislodged and broken dentures that leave embarrassing gaps in one's smile.

You can rest assured that your oral health is in the best of hands at our office. We'll quickly determine exactly what's wrong, explain your treatment options, and then provide the precise and gentle care you require to alleviate your discomfort and get you back on the path to oral health and wellness.

Your health and comfort are our top priorities. If your dental emergency is painful, if it affects the appearance of your smile, or if you suspect that an infection is present, our office will make every effort to see you as soon as possible for care.

Why choose the office of Paulussen Dental?

+

At the office of Paulussen Dental, we welcome patients of all ages for care and offer a comprehensive range of services designed to help every member of your family maintain a beautiful and healthy smile. Whether you or a loved one needs a routine checkup and cleaning, fillings, same-day crowns, a cosmetic smile makeover, the replacement of missing teeth or require the services of a skilled and compassionate emergency dentist, you can rely on our office for the highest quality care.

For more information on our office and the many services we provide, or to schedule an appointment for care, give us a call today.

What happens during an oral exam?

+

At Paulussen Dental we take a practical, preventive approach that begins with a thorough review of your medical and dental history and any concerns you bring to the appointment. The clinical exam includes a full-mouth inspection of teeth, gums, tongue, palate and other soft tissues, along with an oral cancer screening and assessment of periodontal health. We also evaluate bite relationships, TMJ function and signs of bruxism or unusual wear patterns to understand how all parts of the mouth are functioning together.

When indicated, the exam is complemented by appropriate diagnostic imaging to reveal issues beneath the surface, such as decay between teeth or changes in bone levels. After gathering findings we summarize what we observed, explain any areas that need attention and outline clear, practical options for care. The goal is a personalized plan you understand and feel comfortable moving forward with.

How should I prepare for my first oral exam?

+

Before your initial visit gather a list of current medications, recent medical diagnoses and any previous dental records you have available, and be ready to describe symptoms or concerns. If you have dental x-rays from another office bring copies or let us know so we can request them, and plan to arrive a few minutes early to complete intake forms if needed. Maintaining your normal oral hygiene routine before the appointment helps us see your typical baseline, and it’s helpful to bring a list of questions you want to discuss.

If you are visiting our Hackettstown office for the first time let the team know about any special comfort needs or anxiety so we can explain options for a more relaxed visit. Children benefit from a calm arrival and honest, age‑appropriate explanation of the visit to set positive expectations. If you have concerns about bleeding, infection risk or recent medical procedures, mention those when scheduling so we can coordinate care appropriately.

How often should I schedule oral exams?

+

Frequency of exams depends on individual risk factors and oral health status; many patients benefit from twice‑yearly visits while others with specific conditions need more frequent monitoring. Factors that may necessitate additional visits include active gum disease, a history of frequent cavities, certain systemic health conditions, tobacco use and orthodontic appliances. Regular exams allow the team to track changes over time, catch problems early and recommend prevention tailored to your needs.

We determine a recall interval based on your exam findings, hygiene status and overall risk profile, and we explain the reasons for our recommendation so you can make informed choices. Keeping consistent appointments makes treatment simpler and often less invasive if issues are detected. If your health or medications change between visits, let us know so we can reassess your exam schedule.

What role do oral exams play in detecting oral cancer?

+

Oral exams are an important opportunity to screen for signs of oral cancer by visually inspecting and palpating the tissues of the mouth, lips and throat for sores, lumps, red or white patches and other abnormalities. Dentists also check the neck for enlarged lymph nodes and evaluate any persistent symptoms you report, such as unexplained numbness, difficulty swallowing or a lesion that does not heal. Adjunctive screening tools and specialized lights may be used when appropriate to enhance detection of suspicious areas.

Early detection significantly improves treatment options and outcomes, so we take any suspicious finding seriously and recommend prompt follow‑up or referral to the appropriate specialist. We document lesions and monitor changes over time when observation is appropriate, and we communicate clearly about signs that require immediate evaluation. Discuss any oral changes you notice between appointments so we can assess them without delay.

What types of dental imaging might be used during an exam?

+

The images we recommend depend on the clinical question, with common choices including bitewing radiographs to detect decay between teeth, periapical films to evaluate roots and localized areas, and panoramic films for a broad view of the jaws and tooth development. Digital radiography is the standard in most exams because it delivers high‑resolution images quickly while minimizing radiation exposure compared with older film techniques. For complex cases or surgical planning, three‑dimensional cone beam computed tomography (CBCT) may be employed selectively to visualize root anatomy, nerve pathways and bone structure.

We choose imaging that provides the diagnostic information needed while limiting exposure, and we explain why each type of image is recommended for your care. Digital images integrate with your chart for chairside review and long‑term comparison, which helps track changes and guide decision making. If you have concerns about radiation or prior imaging, mention them so we can address them and avoid unnecessary repeats.

How do oral exams relate to overall health?

+

Oral health is closely connected to general health, and routine exams can reveal signs that reflect systemic conditions such as diabetes, cardiovascular concerns and certain nutritional or immune disorders. Dentists look for patterns of inflammation, infection and unusual oral lesions that may provide early clues about broader health issues, and we communicate findings that warrant medical follow‑up with your physician. Understanding these connections helps us prioritize preventive care that benefits both oral tissues and overall well‑being.

Controlling gum inflammation and reducing harmful oral bacteria are meaningful steps that support general health in addition to protecting teeth and gums. During an exam we discuss how oral hygiene, diet and management of chronic conditions intersect and recommend practical measures to reduce risk. When findings suggest a link to systemic disease, we encourage timely coordination with medical providers to ensure comprehensive care.

What should parents expect during a child's oral exam?

+

A child’s oral exam focuses on comfort, development and prevention, beginning with a gentle introduction to the dental environment and an age‑appropriate discussion to alleviate fears. The dentist evaluates tooth eruption, bite relationships, signs of decay, oral habits such as thumb sucking and the need for sealants or fluoride to protect vulnerable surfaces. We also assess growth patterns that may indicate the need for orthodontic monitoring and provide guidance on establishing effective home care routines.

Hygienists demonstrate brushing and flossing techniques tailored to a child’s age and dexterity and recommend safe, practical products parents can use at home. Routine pediatric exams are an opportunity to reinforce healthy nutritional habits and injury prevention strategies for active children. If any concerns arise, we explain next steps clearly and work with families to create a comfortable, long‑term plan for oral health.

Will my dentist check for bite problems or TMJ issues during an oral exam?

+

Yes. A comprehensive oral exam includes an evaluation of bite alignment and jaw function to identify malocclusion, limited range of motion, joint noises or tenderness that can indicate temporomandibular joint (TMJ) disorders. The clinician observes how your teeth come together, checks for signs of bruxism such as uneven wear or muscle soreness, and asks about symptoms like jaw pain, headaches or difficulty opening and closing the mouth. This assessment helps determine whether conservative management or further diagnostic testing is needed.

If signs of TMJ dysfunction are present we discuss evidence‑based, noninvasive options to manage symptoms, such as behavioral changes, occlusal appliances or referral to a specialist when appropriate. Monitoring over time is often part of the approach to see whether symptoms improve with conservative care. Clear communication about symptoms and triggers helps us tailor recommendations to your situation.

What preventive guidance will I receive during an oral exam?

+

Preventive guidance is a core component of every exam and typically includes personalized instruction on brushing technique, flossing or interdental cleaning, and product recommendations suited to your oral anatomy and risk profile. We discuss dietary habits that influence cavity risk and provide practical tips to reduce sugar exposure and acidic challenges, as well as tobacco cessation resources when relevant. For patients at higher risk of decay or periodontal disease we review targeted strategies such as topical agents or more frequent maintenance visits to preserve oral health.

Professional hygiene appointments paired with exams remove hardened deposits that home care misses and allow the team to reinforce effective routines. Education is practical and hands‑on, with demonstrations of tools like interdental brushes or powered toothbrushes when they offer advantages for a specific patient. The objective is to equip you with daily habits that reduce problems and extend the benefits of professional care.

When should I schedule an extra exam between regular checkups?

+

You should request an interim exam if you experience new or worsening symptoms such as toothache, swelling, unexplained bleeding, loose teeth, trauma to the mouth or a sore that does not heal within a few days. Sudden changes in bite, persistent jaw pain, or signs of infection including fever and facial swelling also warrant prompt evaluation. An extra visit allows us to diagnose and address acute issues quickly before they progress to more complex problems.

Additional exams are also appropriate before beginning medical treatments that may affect oral health, such as certain medications or cancer therapy, and during pregnancy when hormonal changes can impact gum health. If you notice any concerning changes between scheduled visits, contact the office to arrange a timely assessment so we can recommend the most appropriate next steps. Prompt attention often leads to simpler, more predictable care outcomes.

Schedule a visit today!
Contact Us
SMS Consent
Submit

Thank You!

We appreciate you taking the time to visit our site. We'll review your message and be in touch with you soon.

Continue
 html    head  title 500 Internal Server Error  title   head    body    center  h1 500 Internal Server Error  h1   center    hr  center nginx 1.29.3  center     body     html