About Mark Bornfeld DDS Expertise I can respond to all questions dealing with the practice of dentistry, from both the dentist`s and patient`s perspective. I am knowledgeable about all dental disciplines, from cosmetic dentistry to surgery, from restorative dentistry to root canal treatment. I have strong opinions about controversial issues in dental practice, including those topics which directly impact on the reputation of the profession in the eyes of both the lay public and our health profession colleagues.
Experience
Past/Present Clients Editor, Queens County Academy of General Dentistry newsletter; contributor to Dentistry.com 29 years practicing general dentistry partnered with brother Steve as one-half of the DentalTwins®
I was told by my dentist when I did regular cleaning a year agon that my gum was very healthy. I switched to this new dentist recently and was told I have severe gum problems and need deep cleaning. I did not really want to do it becuase I had deep cleaning years ago and my teeth became very sensitive and felt loose afterwards. How can I tell if I truly need it or not? I take good care of my teeth and just have very crowded teeth. I don't have gum bleeding problems.
Answer Dear Yuan,
Unfortunately, a reliable diagnosis is required in order to prescribe an appropriate course of treatment, and a patient must to a great extent trust that his dentist is being truthful and using justifiable criteria when diagnosing and treating his patient. Although the presence of gum disease is obvious when it is severe and advanced, it is more subtle in its presentation in the beginning and moderate stages when deep cleaning may indeed be appropriate.
I understand that the disparity in your old and new dentist's guidance can be confusing, but it is just as possible that your old dentist could have been too conservative as it is that your new dentist may be too aggressive.
You need to seek a second opinion to break through this seeming contradiction. Another independent assessment should be able to clear up this impasse. This must of necessity be done in person by another dentist so he can properly assess the available diagnostic data.
Hope this helps...
Mark Bornfeld DDS
www.dentaltwins.com
Brooklyn, NY
