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If you live in New York City and you have loose or missing teeth or need to have a tooth or teeth removed due to disease or decay, it’s likely you will need to have them replaced with dental implants. Periodontist Dr. Kissel’s preferred tooth-replacement system is dental implants because they are a permanent solution,…

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How To Brush Properly While brushing the outside surfaces of your teeth, position the brush at a 45-degree angle where your gums and teeth meet. Gently move the brush in a circular motion several times using small, gentle strokes. Use light pressure while putting the bristles between the teeth, but not so much pressure that…

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Your dentist or periodontist just told you that you have deep pockets around teeth and you need periodontal treatment. It is important for you to know about current opinions in the dental community regarding this treatment and what your options are. The primary cause of periodontal disease is excessive plaque and calculus on the root…

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Periodontal disease can be one of the most difficult dental conditions to treat. There are various factors that can affect the patient’s clinical outcome. For instance, genetics, smoking, home care habits, diet, and systemic health conditions can affect the outcome of gum disease treatment in NYC. Previous options presented to patients for treatment were limited…

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Seeing pink in the sink after brushing? You aren’t alone. One of the most common oral health problems in New York City, bleeding gums are experienced by many. If you notice that your gums are bleeding—either during brushing or at other points in the day—now is the time to find out what’s causing the condition…

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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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