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Dentistry/to extract or not


Hi and thank you for taking the time to answer my question.
I am 48 years old, have gum disease and need to have all four sections of my gums cleaned.(surgery)
in addition tooth #2 needs to be is my understanding it is impossible to save it. tooth #2 has a crown and is really decayed .it basically has a hole in it. the dental surgeon recommended having it extracted and have an implant to replace it.  The periodontist is recommending to extract  #1,2,16 and 32. to prevent farther damage to my receding gums.
can I please have your opinion? do you think # 2 is needed for chewing? what about the other teeth,i understand it is common to extract wisdom but need your input.
thank you again,

Dear Miri:
Sorry to hear that you have to deal with Periodontal disease.  It is never pleasant and collateral damage, such as tooth removal is sometimes necessary.
I absolutely agree with your periodontist.  Unfortunately, I cannot examine you and your X-rays myself.  However, generally, the treatment plan that your periodontist suggested is exactly what I suggest to my own patients.  
Wisdom teeth, if you have room for them in your mouth and if you can take care of them, can stay.  However, most people do not have the room for them, and cannot keep them clean.  The are better off extracted.  They will just give you troubles in the future and will exacerbate the periodontal disease.
As to #2.  It is probably compromised beyond repair and as such it is better to be removed so that it does not compromise the other teeth.
Best of luck,


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Zev Kaufman, D.D.S.


I can answer any question from simple routine dentistry to very complex dentistry with emphasis on reconstructive, cosmetic, and implant dentistry. My expertise is in co-ordination of very complex treatment plans with other dental specialists or as a one-man-team, since I have extensive training in Prosthodontics, Surgical Implantology, and orthodontics.


Over a decade in private practice of Surgical Implantology and Prosthodontics. Founder and owner of Prosthodontics & Implant Surgery of Manhattan, PC. Clinical Assistant Professor at the Post-Graduate Department of Periodontics & Implant Dentistry at New York University College of Dentistry. Lecture weekly since 1999 on advanced Implant Prosthodontics at New York University College of Dentistry Post-Graduate Program in Periodontics & Implant Dentistry. Former clinical assistant professor of Dental Radiology at the NYU College of Dentistry. Former clinical and lecture faculty at Lincoln Hospital, Dental residency program. Former clinical and lecture faculty at St. Barnabas Hospital (Bronx, NY) dental residency program. Lecture nationally on Prosthodontics and Implant Dentistry.

Memeber of the American College of Prosthodontics. Memeber of the Acacdemy of Osseointegration. Member or the Omikron Kappa Upsilon (OKU) Honors Dental Society. Member of the American Dental Education Association.

Graduated with Honors from New York University College of Dentistry. Post-Graduate training and certificate in the specialty of Prosthodontics. Post-Graduate training and ceritificate in Surgical and Prosthetic Implant Dentistry. Honors-program in Comprehensive and Applied Practice Management. Honors-program in Orthodontics.

Awards and Honors
NYU Cervice award to the community. OKU honor society. National Dean's List. National Who's Who.

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