At each check-up, your dentist and/or hygienist will monitor for changes in your mouth. Contact your dentist if you have gums that bleed, are red, puffy, swollen or sore, gums that have pulled away from the teeth, gums have receded, changes in the way your teeth fit together, pus or creamy discharge around the teeth or gums, or constant bad breath or a bad taste in your mouth.

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We are truly committed in making sure your dental treatment is provided in the best, most comfortable manner possible. Although local anesthetic is used in most situations, we do also offer conscious sedation which will help make you relaxed but not aware of your surroundings.

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Problems in the mouth and teeth start long before they start hurting. In fact, the teeth and jawbone have few early warning signs and in reality, will not start feeling pain until it is too late. The late stage symptoms are called “end stage”. The mouth is like many other “quiet” areas of the body (heart, lungs, etc.) and is called an asymptomatic-subclinical organ. It is very important to be tested (in dentistry it is an examination and CT scan) to find out in the earliest stages of disease, what is going on. If you wait until you have symptoms, the solution is often more surgeries at a much greater expense with not necessarily the same preferred result. The message is seek treatment early!


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ADRENALINE PUMP: Much like the heart a patient can not feel any pain or symptoms of a heart attack until it is too late. Currently the medical community uses EKG’s, blood test, etc…, for early detection of a potential problem. Kodak CT scans are the dental versions of EKG and blood test. They allow you to detour from major problems in the future.


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Because each patient need is different, our office will go through a complete examination at your first visit. Either at the first visit or the second visit, our office staff and Dr. Feldman will go over the diagnosis and your options in treatment as well as the cost of treatment. We do participate with many insurance companies and will give you an approximate estimate of what your coverage will be. We also have a number of payment options that will be discussed prior to any treatment.


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Not everyone needs periodontal surgery. If treated early, gum disease can be controlled without surgery. We will make recommendations based on your individual needs. Our philosophy is to treat as conservatively as possible to attain mutually defined treatment goals.


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The recent advances in periodontal treatment allow us to successfully treat most teeth. Again, the earlier the disease is detected, the more predictably we can save your teeth. If not, dental implants offer a highly successful (98%) tooth replacement.

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Our office works very closely with your general dentist. If crowns or other restorative needs are needed, your general dentist will provide them. Regular visits to your general dentist are an important part of periodontal maintenance. We work as a team!

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Periodontal disease is a progressive, painless infection, however, a delay in treatment can cause you further bone loss and treatment may be more extensive. Additionally, if bone loss continues, we may not be able to repair the teeth and/or implant placement may be compromised.

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Once your periodontal treatment is completed it is very important that you maintain regular professional cleanings. Dental research states that a 3 month recall may be required. This is necessary because it takes approximately 3 months for the bacteria to re-grow and start to cause destruction of gingival tissue and bone loss. Our staff will help you with instructions on good oral hygiene at home which will keep periodontal disease from reoccurring or becoming more serious. A few minutes a day is enough to care for your teeth and gums. You do not have to lose teeth to periodontal disease if you brush, floss, eat a balanced diet, stay active and schedule regular dental visits. As time passes, the frequency of your recall may be adjusted, if your home care and the stability of your case will allow adjusting the recall schedule.

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The answer depends on the patient and the severity of the disease prior to treatment. Generally, the more severe the initial problem, the more the periodontist needs to oversee the case. The responsibility for periodontal maintenance will generally be worked out between the patient, the general dentist and the periodontist.

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This decision is based on a number of factors. The interval between maintenance visits varies from every few weeks to every six months. The frequency of maintenance visits is influenced by: the severity of the disease, the treatment required to get control of the disease, the patient response to treatment and the rate of plaque growth. The frequency of maintenance visits is significantly influenced by the patient commitment to good oral care at home.

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