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The primary goal of periodontal therapy is the reduction or elimination of inflammation. Traditionally, this is accomplished through removal of subgingival tooth‐borne accretions using non‐surgical and/or surgical treatment modalities. Numerous studies indicate the difficulty in removing these accretions.  Studies show when treating 4->6mm probing depths with scaling and root planning alone, only 30-40% of the…

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With the prevalence of peri-implantitis, abutment selection and design need to be critically assessed to minimize its impact on hard and soft tissues. Not only should an abutment be functional, it should also be biocompatible, cleansable, and lead to an esthetic result.

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I hope that you and your family have remained healthy and have been able to manage reasonably well with the stress and difficult circumstances of this unprecedented time. As many of you know, our periodontal/implant practice is closed, except to treat emergencies, until June 8th. I have been using some of the extra time I…

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March 15th, 2020 Amid ongoing concern about the coronavirus COVID-19, our top priority is the health, safety and well-being of our patients. I would like to provide you with information about what 501 Madison Avenue is doing as well as steps the practice is taking to ensure that you are entering a clean environment when…

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I want to share with you a recent case I completed. This patient presented with resorption Tooth #10, fifteen years after a traumatic injury. As noted in the conebeam slice, the resorption was quite advanced and its prognosis was hopeless. In external resorption cases, bone is found within the root replacing tooth structure, so there…

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A common complication of dental implant therapy is the development of peri-implantitis (PI), which is defined as “a destructive inflammatory process affecting osseo-integrated implants in function, leading to peri-implant pocket formation and loss of supporting bone”. In addition to bone loss, the clinical presentation of peri-implantitis includes deep probing depths (typically >5mm), bleeding on probing,…

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Whether you’ve heard the terms “gingivitis” and “periodontal disease” from toothpaste ads or from your general dentist, you may be wondering if the two words are interchangeable. They’re not. Gingivitis is actually the first stage of periodontal disease. And if left untreated, it can progress to a more serious stage of periodontal disease called periodontitis….

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New York City residents have a wide variety of local periodontists to choose from. After all, they live in the Big Apple. There’s a world of possibility on every block of the City, and several oral health care practitioners to choose from. But when it comes to choosing a provider to manage periodontal disease or…

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If you’ve met with a general dentist, or New York City’s periodontist Dr. Kissel, and found out that you have periodontal disease, you might be wondering how often you should see Dr. Kissel for examinations after your diagnosis. After all, periodontal disease isn’t something to take lightly. If left untreated, it could lead to gum…

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If you’ve been told that you have periodontal disease, treatment planning should start immediately. By acting quickly and diligently, periodontal disease can be reversed, restoring your dental health and protecting your overall health, as advanced stages of periodontal disease increase patients’ risk for heart disease and stroke. If a general dentist diagnosed you with periodontal…

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