Blog

I have been intensively training with one of my mentors, Dr. Denns Shanelec, a periodontist in Santa Barbara who is the father of microsurgical periodontics and implant dentistry, over the last three years. I regard Dr. Shanelec as one of the finest periodontist’s in the world. I have integrated many of his microsurgical techniques into…

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Dental implants are posts or frames that are surgically positioned into the jawbone beneath the gums. These allow replacement teeth to be mounted. The problem is that they need to be attached to the jaw securely, so they don’t fall out or damage the jaw. So, what happens if the jaw is worn away or…

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At my Manhattan practice, I came across a recent issue of Journal of Esthetic and Restorative Dentistry, a well-known periodontics journal, discussed the topic of “Noncarious Cervical Lesions: Graft or Restore?” Dr. Pat Allen, a former professor of periodontics and now practitioner, answered the following question: How does one decide the best treatment – restorative…

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Immediate implantation and microsurgery techniques can provide a large advantage over normal techniques. Faster healing times and less painful procedures can make patients happier and more satisfied with their treatment. Delayed implants may lead to difficulty in achieving a superior aesthetic outcome, and non-microsurgical techniques are less precise. Using immediate implants and microsurgery can mitigate…

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Dental implants are a common periodontics procedure, but reduced alveolar bone below the maxillary sinus is a frequent anatomical limitation to the placement of dental implants. Within the sinus cavity itself, additional anatomical structures such as septa and sinus floor slope complicate optimal implant positioning. These types of problems have been seen before at my…

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Recently I have incorporated a surgical microscope into the New York City practice.  Microsurgery was introduced to the specialty of Periodontics in 1992.  We are all familiar with the advantages of increased magnification and illumination, but it is now recognized that magnification has more to offer than corrective vision.  Ergonomic benefits and improved clinical skills…

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Teeth sometimes decay and need to be removed or extracted. This can be for any number of reasons. When a tooth is removed, it leaves an exposed socket that will often heal on its own, but it is well documented that this results in the loss of both bone volume and height. To alleviate this,…

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The dental profession and study of periodontics have been evolving at a very rapid rate in the areas of esthetics and implant dentistry.  Our Manhattan patient’s expectations and the complexity of treatment require that our treatment planning and final results be consistently predictable. Periodontal plastic procedures have continually developed.  These procedures, which address esthetic and…

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Natural teeth always hold and maintain bone in the mouth. When teeth are missing, the bone that remains can weaken and erode. Dental implants can fix this issue, and immediate implants are an attractive option to patients, at my own practice in New York City and other across the country, because it requires fewer visits…

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Over the past several years I have been following the research on lasers in dentistry. Recent research findings have indicated that now is the right time to incorporate the Nd:YAG laser into my New York City practice. Formally known as the “neodymium-doped yttrium aluminum garnet,” it is named for the crystal it uses. The properties…

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