225 Broadway, Manhattan 10007

1008 Gates Ave. Brooklyn 11221



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.

Some Common FAQs

Why do my gums bleed?

Gums bleed when the gum lining has broken down, and is ulcerated. You may notice this when brushing, or eating fruit, or using a toothpick or dental floss. If you follow proper plaque-control methods, or use water irrigation, you can stop the bleeding within a few days.

If the bleeding is not stopped, periodontal disease gets worse, bone is lost around the teeth, and you may finally lose teeth. If your gums happen to bleed spontaneously, without your even touching them, visit a dentist or physician immediately. A complete blood count should be taken to see if there is anything wrong with the cells of your blood. Certain conditions, such as leukemia, frequently show up first in the gum. Diabetes often shows up with early changes in the gums and bone, with abscesses, and bone loss. Your physician can help you with a glucose test, HbA1C test, to determine if you have diabetes.

How can your gum recession be repaired?

There are several procedures used today, mainly by surgically trained periodontists, to cover over roots that have had recession. Your problem may require a special solution, and sometimes the gum can't be totally returned to where it was at age fifteen. Nevertheless, it can frequently be improved.

What's the best kind of toothbrush?

For most people a three- to four-row soft nylon brush with rounded bristles is best. It permits you to brush in the gum space correctly. It can be simple or electric or ultrasonic.

How often should I have my teeth cleaned

This varies from patient to patient. Some people have greater susceptibility to gum breakdown. Others smoke, or drink more coffee or tea. Some people, especially diabetics, may form tartar more quickly. For an adult, about once every three months could be used as an average figure, especially if you have had periodontal breakdown. If you're very good with your mouth hygiene, you might only require it once every six months. You and your dentist should decide together, based on your dental history and personal plaque control efforts.

How does my diet affect my teeth? Are any foods especially bad?

Diet can affect your teeth greatly. Foods that contain sugar are particularly harmful, and the more concentrated the sugar the greater the danger. For example, caramels are worse than soda, and soda is much worse than freshly squeezed orange juice. Since sugar has also been indicted as a very probable contributor to diabetes, heart disease, and overweight problems, a careful person would do well to avoid sugar.

Other foods that are not considered good for teeth are refined carbohydrates like potato chips, cookies, and pretzels. These also may lead to cavities, because the carbohydrate is attacked by bacteria on the teeth and converted to acids, which cause the teeth to decay.

Dr. Marshall's Books

Dr. Howard B. Marshall has authored 2 books for the public on dentistry

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.

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