Do Dental Sealants Really Work For Kids Teeth? | Pediatric Dentist Hoboken

dental sealants


Thorough brushing and flossing are great for removing food particles and plaque from teeth, but those two alone are not enough. Especially when we’re talking about the depression and grooves found all the way back of your teeth.

This is where dental sealants come in, as they help add an extra layer of protection for those vulnerable from decay.

Why Children?

Fluoride has been proven to be very effective in preventing decay and protecting all the surfaces of your teeth. However, the chewing surfaces found on the back of your teeth are especially vulnerable to decay.

The main reason why children benefit from them the best is because their permanent molars don’t come in until between the ages of 6 and 12. This means that a dental sealant can be applied to them almost immediately when they come out. Additionally, this is also why dental sealants are more effective in children than they are in adults.

Why the Molars and Premolars?

As mentioned earlier, the chewing surfaces of the molars and premolars typically have deep fissures. And, it is these grooves and pits that make them very vulnerable to decay. However, dental sealants are not limited to the molars and premolars. Other teeth who also have deep fissures are also candidates for dental sealants to protect them from decay.

Sometimes, even baby teeth may be primary candidates for dental sealants, especially if they have grooves or pits, just for added protection.

What to Expect During the Procedure

  • Preparation – First, the dentist or dental hygienist removes plaque and other food particles from the tooth. The tooth is then isolated and left to dry out for a while. Once dry, the hygienist will start etching the surface of the tooth before rinsing off the material and leaving it to dry out again.
  • Application – Once fully dry, the dental sealant material is applied to the tooth’s surface using a brush. A self-curing light is then used to make sure that the sealant bonds well to the tooth surface.
  • Evaluation – Finally, the dental hygienist or dentist takes a look at the dental sealant to check for any remaining crevices. Once fully hardened, the dental sealant will look like a hard plastic coating that will serve to protect the molars and premolars from tooth decay.

What’s Next?

With dental sealants, your child’s molars and premolars are now well protected from the effects of tooth decay. That, however, does not apply to your other teeth. Both brushing and flossing are still just as important with dental sealants as they are without them.

While dental sealants do really work for children’s teeth, they are not permanent. Often, they only last for anywhere between five to ten years. Also, don’t forget to have them checked by your child’s dentist regularly.

Combined with good oral hygiene at home, a healthy diet and regular dental visits for checkups and cleaning, dental sealants are a great way to keep your child’s teeth clean, healthy and free from decay throughout their lives.

To learn more about dental sealants call Dr. Flynne Weingarten at Dental Associates of Hoboken at 201-795-2111. Also visit the website at http://www.hobokenpediatricdentistry.com.

 

 

 

 

 

Why Is My Child Not Losing Any Teeth? | Pediatric Dentist Hoboken

children losing teeth

You probably remember the first time you lost a tooth when you were still young. You may even still remember losing the first few. In fact, you may have even helped make it happen by tying strings to loose teeth so that they fall out much quicker. And now, your child is going to have go through the same experience soon.

Most children start losing their primary teeth at around 5 or 6 years old to slowly make room for their permanent teeth.

But, what happens if your child doesn’t?

Pulling Out Loose Baby Teeth

As the permanent teeth start to develop and come in, the roots of your child’s original teeth will gradually dissolve. Eventually, the amount of tissue becomes so small that your child can easily use his or her fingers or tongue to remove the loose tooth.

Unfortunately, this does not always happen. Don’t worry too much. It happens. More importantly, don’t pull out the loose baby teeth yourself.

There’s a huge chance that the baby tooth is only slightly loose, which means it’s best to just leave the tooth alone.

Still, if your child doesn’t say it hurts when it moves and it’s already very loose but just will not fall off, feel free to help out your child. Don’t tie a string to it, though. Instead, use a clean towel or gauze to hold the tooth and give it a quick twist before pulling it out in one go.

Better yet, let your child do it. This is a very big milestone and a moment that children will likely remember for the rest of their lives. So, you might as well let your child do it.

When to Call The Dentist

  • Small fragments of the root may sometimes stay in the tissue for far longer. They’re rarely a cause for concern. But, if they begin to cause swelling, redness, or even pain in the tissue, contact your dentist immediately to check if there’s an infection.
  • “Shark teeth” is a term used to describe when the permanent teeth erupt when the baby teeth still hasn’t had a chance to fall out properly. This is similar to what happens in sharks, hence the name. While such cases aren’t exactly a dental emergency, you still would want to have it checked by your child’s pediatric dentist. The dentist will usually check your child’s teeth if there’s still a possibility for the baby teeth to fall out naturally. If not, then the dentist will have to extract your child’s baby teeth to make way for the permanent teeth.
  • There are also cases where the permanent tooth just never develops and the baby tooth doesn’t fall out as a result. At this time you’ll want to take your child to the dentist to take an X-ray just to make sure if the permanent tooth developed or not.

If you are concerned about your child’s permanent or baby teeth, don’t hesitate to call Hoboken Pediatric Dentistry and make an appointment at 201-795-2111 or visit our website at www.dentalassociatesofhoboken.com.

How To Cure Bad Breath

Nobody wants to get in an embarrassing situation where someone points out that they have bad breath. But, most of us will inevitably go through that at some point.  

To understand how to prevent and cure bad breath, it’s important to understand what causes it first. 

What Causes Bad Breath 

Whenever we eat, food particles and debris often get trapped in between teeth and along the gum line. Brushing your teeth and flossing helps take care of this. But, if you don’t brush your teeth after a meal, the trapped food becomes a breeding ground for bacteria. This is what then causes bad breath.  

The food you eat is also another common cause of bad breath. Garlic, onions, and alcohol are notorious for their strong odor. When you eat or drink either of the three, your body ends up absorbing them, eventually causing you to breathe the foul odor through your lungs.  

In rare cases, bad breath can also be a symptom of a serious illness like liver failure, kidney disease, or even diabetes. 

Curing Bad Breath 

There are five things you can do to cure and prevent bad breath, and these are: 

  • Brush and floss your teeth regularly. Dentists recommend brushing your teeth at least twice a day and flossing them at least once. However, if you can brush your teeth every after a big meal, then all the better. Regularly brushing and flossing your teeth should remove and take care of all the food and bacteria trapped in between your teeth and gum line. 
  • Don’t forget to clean your cheeks and tongue. Your cheeks and tongue can also host bacteria and be the cause of your bad breath. Always use the tongue scraper on your toothbrush to clean them whenever you brush your teeth.  
  • Drink lots and lots of water. Have you ever noticed how foul your breath smells in the morning when you wake up? “Morning breath” is actually the result of, among many other things, there not being enough saliva in your mouth. However, your mouth can dry up at any time of the day. And, without saliva, your mouth is unable to clean itself and wash away food particles, which causes bad breath. You can help prevent this by stimulating saliva production throughout the day by keeping yourself hydrated.  
  • Be mindful of what you eat. Garlic, onions, and alcohol are just a few of the many types of food that causes bad breath. Your diet too can also cause your breath to smell. In particular, high protein and low carb diets have been known to cause bad breath.  
  • Visit your dentist often. Don’t be one of those people who visit their dentist only when they’re having oral problems. Do your teeth and gums a favor and actually pay your dentist a visit every three to six months or so for regular checkups and cleanings. Doing so not only helps keep your mouth clean and healthy, but it also helps you stay on top of any oral complications you might have.  

If you have chronic bad breath don’t wait to make an appointment to avoid a potentially bigger issue. Call Dental Associates of Hoboken at 201-795-2111 or visit our website at www.dentalassociatesofhoboken.com.

 

What is a Water Pik and How Will it Help My Oral Health?

You’ve probably heard or seen a Water Pik by now. You’ve probably even demoed one, considering how much these oral devices are being pushed into the market in the past few years.

So, it’s only fair to wonder, what exactly is a Water Pik? And more importantly, why is it all the rage these days?

How A Water Pik Can Help Your Oral Health

Known also as an oral irrigator or dental water jet, a Water Pik is a more hassle-free alternative to flossing. The oral device uses a streaming jet of water to clean teeth to remove plaque and other food particles from areas that normal brushing alone cannot reach.

Along with brushing, flossing has become an indispensable part of most people’s oral routine. But, it’s not exactly without flaws. Flossing takes a lot of time and is often a little too hard on the gums. In fact, it’s not unusual for people to experience some light bleeding and get small cuts on their gums after flossing. This can sometimes lead to an infection.

Water Pik eliminates that risk of infection. It’s a gentler alternative that uses water to rid the teeth and gums of bits and pieces of food, bacteria, and plaque.

Who Should Use A Water Pik?

Everyone, actually. However, it’s highly recommended for the following:

  • Those wearing orthodontic braces
  • Those who have fixed bridgework
  • Those who have crowns
  • Those who have dental implants
  • Those who suffer from conditions that make it difficult to use a string floss, such as arthritis

The Benefits of Using a Water Pik

Have you ever seen how quickly those pressure washers can clean dust, grime, and all kinds of dirt from various surfaces? Water Pik is like one of those pressure washers. It’s a lot smaller, of course. But, the same train of thought applies.

Water Pik, along with brushing, can help make sure that your mouth is clean and free from bacteria when used regularly. Because Water Pik can reach those shallow periodontal pockets caused by gingivitis, even those with periodontal disease can benefit from it.

Unlike flossing, Water Pik is very easy to use. Although it may take some to find out the water temperature and power setting that you’re most comfortable with. But, after that, you won’t have any problem with them anymore.

Just remember to aim the water at both sides of your teeth and go through them as slowly and as thoroughly as you can to ensure a total mouth clean.

Are There Any Risks?

None.

The only problem with Water Pik is that the stream may sometimes not be powerful enough to remove all the plaque bacteria. This doesn’t happen often. But, when it does, that’s where flossing becomes a more effective solution. However, so long as you take proper care of your teeth and gums, plaque will likely have no chance of staying in your teeth for so long.

Ultimately, the choice is up to you. Both Water Pik and flossing are excellent choices when it comes to taking care of your teeth and gums. Stick with what you’re most comfortable with and don’t forget to visit Dr. Posner at Dental Associates of Hoboken often for regular dental examinations and cleaning.  Make an appointment today at 201-795-2111.

The Effects of Soda on Children’s Teeth | Hoboken Pediatric Dentist

Making sure that your child brushes and flosses his or her teeth every day are all good, but all of that goes to waste if you can’t keep them off the soda and other sugary, acidic drinks.

From sports drinks to energy drinks, and artificial fruit juices, as well as sodas, all these aren’t good for your child’s mouth.

Sugar + Acid = Bad For Teeth

The ever-present bacteria found in our mouth love to feast on sugar as much as we do. And, sugary, acidic drinks contain lots of them. The more we drink soda and other sugary drinks, the more the bacteria have to eat, which creates an acid byproduct that’s strong enough to erode teeth.

Keep in mind, no one is really completely free of harmful oral bacteria. It doesn’t matter how often you brush your teeth, it’s always going to be there. However, maintaining a healthy balance of bacteria in the mouth is key to minimizing decay and oral problems.

The best way to do that is to avoid soda and other sugary, acidic drinks.

What Acid Does To The Teeth

The sugar, though, is just one part of the equation. What makes these drinks even worse is that they’re loaded with acid! The acid in soda is worse than sugar in that it can erode teeth without the help of oral bacteria. The attack lasts for around 20 minutes each and each time your child takes another sip, it starts all over again.

For this very reason, diet and “sugar-free” sodas are just as harmful to your child’s teeth as regular soda.

Is One Glass A Day Okay?

Of course, being that sodas are so ingrained in our daily lives, it’s hard to say completely no to them. So, you may wonder, just how often is it okay to drink soda?

There aren’t really enough studies to show just how much is okay. However, there are studies that show that there are cases where it’s okay to drink soda. For example, when you have a tummy ache, drinking soda can actually help. But, other than that, most studies agree on how harmful it is for your teeth and overall health and how you should avoid it entirely.

Is one glass a day, okay? Not really. Although just how much you let your child drink is completely up to you. But, just imagine how much you or your child’s teeth and health would be better off if you replaced soda and other sugary, acidic drinks with milk or water.

Early Dental Care Goes A Long Way

Curbing the soda isn’t just about cavities. For example, enamel erosion can lead to tooth sensitivity, while excess sugar can cause gum disease. The latter is the biggest cause of tooth loss among adults.

As hard as it is, teaching your child to take care of his or her smile early on and steering them away from sugary, acidic drinks, puts them on a path that lets them enjoy healthy and beautiful teeth later on in their lives.

Don’t forget to take you child in for regular checkups and cleanings. Call for an appointment today at 201-795-2111 or visit the website at www.hobokenpediatricdentistry.com.

Invisalign vs. Traditional Braces | Hoboken Dentist

Traditional orthodontics, better known as metal braces, have long been the go-to option for getting teeth straightened. However, over the years, newer methods have been developed, and one of these is Invisalign.

What Makes Them Different? 

When patients follow the dentist’s advice, both Invisalign and traditional braces have the same end results. However, they vastly differ from each other when it comes to how they straighten teeth. Traditional braces use brackets, wires, and rubber and need to be adjusted every once in a while. Meanwhile, Invisalign uses a set of clear aligners that are worn one after the other in a very particular order over two years. More importantly, with Invisalign, patients don’t have to visit the dentist as often as if they had traditional braces.

How Does Invisalign Exactly Work? 

Invisalign was first manufactured by Align Technology in San Jose, California, and began sale in the United States in 1999. Since then, the technology has been used by dentists in more than 45 countries to straighten teeth.

The process starts with a consultation with an orthodontist and general dentist. The first thing they do is take photos and X-rays of the teeth. Then, they take impressions of the mouth. Also, if necessary, they will recommend removal any problem tooth or teeth so treatment can begin.

After preparing everything, the clear aligners are fabricated as a set. The patient will then have to wear each aligner in a particular order to straighten teeth. The average treatment time is around 13 to 14 months.

Are They Better Than Traditional Braces? 

The main difference is that unlike traditional braces, the clear aligners can be removed at any time. Patients are recommended to wear the aligner for 21-22 hours every day. However, it’s also recommended to remove when eating, brushing and flossing teeth.

Being removable makes clear aligners extremely convenient for a lot of reasons. For one, patients don’t have to worry about what they eat. All they have to remember is to put them back on after. Plus, patients don’t have to worry about having to change their usual brushing and flossing habits. This is unlike with traditional braces, where patients have to learn more elaborate methods just to take proper care of them.

Is Invisalign Treatment Expensive? 

The initial costs of Invisalign treatment are higher than traditional orthodontics. However, the actual costs may end up more or less the same. This is after factoring in the costs of frequent visits to the dentist with traditional braces for repairs and adjustments. Also, you’ll have to remember that most patients end up getting retainers anyway after the initial treatment.

It doesn’t matter whether you go with traditional braces or with the newer Invisalign treatment. What’s important is that you get your teeth straightened. Not only will this help improve your smile, but it will also help improve your overall health!

Schedule an appointment  today to know more about Invisalign and whether they are a better option for you or not. Call Dental Associates of Hoboken at 201-795-2111 or www.dentalassociatesofhoboken.com.

 

What Will Happen At My Child’s First Dental Visit?

As your child’s baby teeth slowly start erupting one by one, it’s time that you start thinking about taking him to his or her first visit to the dentist. Although this has more to do about you, the parent, being informed than your child’s actual dental care, visiting the dentist as early as a child’s first birthday or first tooth, whichever comes first, helps establish an oral care routine that can last a lifetime.

How To Prepare

Of course, you can’t just go to the dentist without really planning for it. Doing so will only end up doing more harm than good, and your child might even end up dreading visits to the dentist if it doesn’t go well. So, what you should do is first make sure that your child has eaten and rested well enough around the time of the appointment. Do prepare a list of questions you want to ask the dentist, as well as a list of your child’s current medications.

It’s not surprising for the first visit for extremely young child to not involve any examination at all. Some dentists may actually just let you and your child look around the place and allow the baby to associate the dentist’s office as something positive to make future visits much easier. However, older children may experience some anxiety over a dental appointment. In such cases, try easing his or her worries by showing him television shows that depict dentists positively to help the child visualize what the actual visit will be like. Reading books about dentists may also help.

What To Expect

The first visit will typically involve a discussion between the parents and dentists on proper gum and tooth care for infants and toddlers. The dentist will also likely teach you about proper pacifier use, and the importance of proper nutrition. Dentists may also tell you how important it is for you to NOT let your child fall asleep while bottlefeeding, especially at night. Other things that the dentist might teach you about during the visit are proper brushing techniques, as well as what toothbrush and toothpaste to use.

At the end of the appointment, your dentist should give you a chance to ask any questions you might have. Do make sure that you take this time to clarify any confusion you might have regarding your child’s oral care.

Conclusion

Do remember that you, the parents, are your child’s first line of defense against oral problems. And, the more informed you are about how to take proper care of your child’s teeth, the better the chances that your child ends up enjoying a healthy and beautiful smile for the rest of his or her life.

Make an appointment today with Hoboken Pediatric Dentistry by calling 201-795-2111 or make an appointment through the website at www.hobokenpediatricdentistry.com.

Can Children Get Gum Disease?

Most people know that bleeding gums aren’t a good sign in adults. But, most don’t know that it’s just as bad of a sign in children. In fact, children are just as prone to gun infection and inflammation as adults are. Even worse, gum disease in children carries very serious consequences down the line.

So, for the parents out there, do know that your child is at a very real risk of gum disease.

Are Bleeding Gums Always A Bad Sign?

While it’s definitely not a good thing, bleeding gums is not always a sign that your son or daughter has gum disease. Case in point, he or she may just be brushing or flossing too aggressively, causing the gums to bleed. This is why it’s recommended for parents to supervise and assist their children until they are old enough. Do remember that gently brushing teeth with a soft-bristled toothbrush and flossing slowly is more than enough. Also, if your child flosses every day and then suddenly skips for a few days, a bit of bleeding is to be expected as soon as he or she starts flossing again.

What Causes Gum Disease In Children?

Gum disease affects children for the same reason it affects adults and the elderly. This means that lack of proper oral hygiene is still the main culprit. Of course, genetics also play a key role, as some people are just genetically more susceptible to gum disease, despite practicing aggressive oral care habits.

Keep in mind that children are a special case in that gum disease doesn’t just cause pain and infection in them. It also affects their growth and can have serious consequences on their speech and jaw development, especially if left to progress and not treated immediately.

Symptoms To Watch Out For

The earliest symptoms of gum disease are puffy, swollen or reddish gums. Such gums are much more sensitive and often bleed quite easily during brushing and flossing. Do also watch out for chronic bad breath that doesn’t go away with regular brushing or flossing. If not caught early enough, your child’s teeth may to wiggle and become loose, and around the same time, the gums may develop pockets that make for ideal breeding grounds for bacteria such as plaque.

Prevention and Treatment

Ideally, you’ll want to prevent your child from getting gum disease, and the best way to do so is to encourage good dental hygiene. You should always remind our child to brush his or her teeth at least twice a day, and floss at least once. You should also make it a point to visit the dentist every six months for cleanings and checkups. By establishing a habit early on and setting an example, you will have put your child on the right path to enjoying a lifetime of good oral health.

Unfortunately, you can’t always prevent gum disease, so the next best thing you can do is to make sure that it’s caught as early as possible. Frequent dental checkups and cleaning increase the likelihood of gum disease being caught early on. Also, as soon as you notice your child’s gums becoming puffy, swollen o reddish, and/or notice any signs of bleeding, don’t hesitate to visit your dentist immediately.

Ultimately, you are your child’s first line of defense against gum disease. And, by teaching your child how to take care of his or her teeth right now, you make sure that your child gets to enjoy having a healthy set of pearly whites for years to come.

For more information on children’s oral health call Dr. Flynne Weingarten at Dental Associates of Hoboken at 201-795-2111. Also visit the website at http://www.hobokenpediatricdentistry.com.

Why Are My Teeth So Sensitive? | Hoboken Dentist

If you find yourself constantly avoiding hot or cold food and beverages because it is painful, then it may be time to do something about it.

What Is Dentin Hypersensitivity?

Dentin, which contains microscopic tubules filled with tiny nerve endings, make up most of the insides of your teeth. Protecting it is a hard outer layer of enamel and cementum.

Dentin hypersensitivity or nerve irritation is a sharp dental pain that often occurs whenever the dentin loses much of the enamel or cementum. Without its natural protective coating, the tiny nerve endings become vulnerable to being exposed to hot, cold, acidic or sticky foods, which can make for quite the painful experience.

What Causes Tooth Sensitivity?

Many things can cause tooth sensitivity, such as:

  • Using a hard toothbrush can wear the enamel out and cause tooth sensitivity. So too can aggressively brushing teeth. This is why many dental experts recommend using a soft-bristled tooth.
  • Regularly drinking highly acidic foods and beverages, such as soda and juices, can also cause tooth erosion and lead to sensitive teeth.
  • Tooth decay, broken teeth and worn leaky fillings can also cause the dentin of your tooth to be exposed.
  • Tooth grinding can wear the teeth enamel out and lead to tooth sensitivity.
  • It is also very common for patients who recently received dental treatment, especially with procedures such as crowns, fillings, and tooth bleaching to have sensitive teeth. This, however, is temporary, and will usually go away in a few days’ time.

Visiting the Dentist

The best way to find relief from your pain and discomfort is to visit the dentist. Be sure to tell your dentist when you started noticing the pain and let the dentist know if you’ve done something to make yourself feel better, such as applying warm compresses or anything else.

After a couple of questions and doing preliminary examination, the dentist will then treat the underlying cause. Treatment can vary from something as simple as fixing a cavity or applying an in-office fluoride gel to strengthen the tooth enamel. Treatment can also be much worse and require surgery from a periodontist to fix gum loss that has led to your teeth’s root surfaces to become exposed.

What You Can Do About It

Other than in-office procedures and treatment, there are a few things that you can do yourself to help alleviate the pain. Case in point, using desensitizing toothpastes can help block off the nerve endings in the exposed dentin and reduce pain. You can also try to avoid acidic foods and drinks to see if it helps with the pain.

Of course, prevention is always better than cure, and the best way to prevent tooth sensitivity is to brush properly twice a day with a soft-bristled toothbrush every day and floss at least once daily. Also, if you grind your teeth, you may want to bring up the issue with your dentist as soon as you can well before it causes other problems, such as tooth sensitivity.

In any case, if you’ve been staying away from certain types of food and beverages for quite a while know to avoid pain, be sure to set an appointment with with Dr. Musarra. Call today at 201-795-2111 or visit our website at www.dentalassociatesofhoboken.com.

 

Why Do Baby Teeth Need Fillings If They Are Going To Fall Out Anyways?

 

Most parents aren’t usually alarmed when they find cavities in their children’s baby teeth. Often, they just leave it alone. After all, they’re not permanent and will eventually fall out, so why bother? While it is true that baby teeth will eventually just fall out on their own, leaving cavities in baby teeth untreated will lead to serious consequences down the line.

The Importance of Primary Teeth

Your child’s primary baby teeth are extremely important. Not only do they help your child chew food, but the baby teeth also play a significant role in helping your child form good speaking habits and pronounce words properly. More importantly, they serve as placeholders and guides for when the permanent teeth start to erupt. Not to mention the effect of having a complete smile and healthy-looking teeth on your child’s self-esteem.

Why Baby Teeth Need To Be Filled

If cavities are found in baby teeth and they’re not treated, the decay can affect the permanent teeth underneath. In some cases, the decay can even spread to the permanent teeth.

You may ask then, wouldn’t it be better to just pull out the tooth instead of filling it? Well, while pulling out the tooth is actually possible, it’s not exactly in the best interest of the child. Remember, both children and adults need a complete set of teeth to speak and chew properly. Just missing a single tooth can significantly affect the way we chew or speak. This is especially important in children, as they’re still growing and any negative experiences that might make them much more self-conscious than necessary can have a significant impact on their self-esteem.

There’s also the fact that pulling teeth out can cause the other teeth to shift to “compensate” for the gap left by the missing tooth. If baby teeth are pulled out much earlier than necessary, this can lead to alignment problems once the permanent tooth starts to erupt.  However, when the decay is too expensive, dentists will have no choice but to pull the teeth out. But, this is only a last resort option. If this happens, the dentist will also usually recommend inserting an appliance into the space left by the pulled tooth to protect it until the permanent tooth is ready to come in.

Prevention Is Better Than Cure

The key to making sure that your child grows up with a healthy and beautiful smile is to practice proper hygiene as early as their first baby tooth erupts. As toddlers, instill in them the importance of brushing and flossing correctly. Limit their consumption of sugary snacks too. It might also be a good idea to take them to the dentist at an early age as well.

Remember, your child’s primary teeth are extremely important to his or her growth and development. You should never think lightly of any problems with them just because they’ll eventually fall out anyway.

If you have any concerns regarding your child’s teeth, be sure to schedule an appointment today to know more about how you can take better care of your child’s teeth. Call 201-795-2111 or visit the website at www.dentalassociatesofhoboken.com.