Diagnosis

One of the most highly trained and experienced Periodontists in NYC

Dr. Howard B. Marshall is a dental specialist in Periodontics, treating patients with gum disease and bone loss around their teeth, helping rebuild mouths using implants, and at times rebuilding just sections of the entire mouth.

About Diagnosis

Not all cases are the same, and people have different types of infection, different stages of gum disease, and bone loss. We treat them completely and work also with the physician if we suspect diabetes. Other offices extract more teeth, but Dr. Marshall tries to save as many teeth as it's possible!

The only way that Dr. Marshall, who is a very well known periodontist in New York, can tell you which type of case you have, is by looking at your X-Rays, measuring the periodontal pockets in the gums, and examining your bite and tooth looseness. At that periodontal examination and consultation, he can explain what he can accomplish for you and what the cost will be.

Since the X-Rays and exam do not usually cost you if you have insurance coverage (check your insurance), it is to your benefit to come in and have this examination and discussion with Dr. Howard Marshall, and really find out what you need. Then you make the decision if you would like him to take care of you. Dr. Marshall is amazing with how many questionable teeth he has saved for people. You are lucky to find him and get his treatment!

To determine the cost of the procedure, the doctor needs to examine your mouth, the X-Rays, the gums, loose teeth, and the bite before he can give his fee.

These are some of the things we will need to know about you:

Do you have at least 10 X-rays showing molars, bicuspids, and anteriors, including root tips?

What is your age?

If you are female, have you reached puberty and begun menstruation?

Are you pregnant?

Do you have any contributing medical condition (s)?

Have you completed Orthodontic treatment with full brackets (ie., non-removable)?

Are you taking any medication that could cause gingival hyperplasia (like Dilantin for epilepsy), or medication that can cause bone loss or osteoporosis?

Do you have any of the following: a) early bone loss -10 to 20% b) moderate bone loss -30 to 50%, or c) severe bone loss 55 to 75%?

Do your teeth exhibit Mobility? How much? mild, (1) moderate (2) or severe (3).

Do you have at least 4 mm of attached gingiva, with 2mm of that truly attached?

Do you have any history of ANUG? Is there any loss of papilla and interproximal cratering? Any dark spaces between teeth?

Are you exhibiting heavy calculus on the lower front teeth (tartar)?

Are you seeing any spontaneous bleeding from gums?

Have you ever had periodontal surgery?

How many years ago was the surgery?

Do you have a pocket depth of 5 mm or more in at least 1 quadrant?

From any periodontal exam where you were told that you have 4 or more teeth with pockets over 5 mm in your upper lower jaw?

Do you have at least 6 teeth on your upper arch, and lower arch?

Have you ever had bone grafting?

Are you interested in rebuilding the mouth with a fixed approach rather than wearing removable dentures?

Do you like your smile?

Do you want to improve your smile?

Is your Oral Hygiene good, fair, or poor?

Do you use a water pik?

In choosing to see Dr. Howard Marshall, you're choosing a very highly trained doctor who has dedicated his life to helping patients get their gum disease properly treated.

Created by DearDoc