Airway Centered Dentistry

What is airway centered dentistry? Airway centered dentistry sounds fancy.  But in essence, it is with the understanding that airway and breathing is above all body systems not only for survival, but for optimal health.  If we were to look at teeth and treat teeth harmoniously to optimize the airway, teeth will be in a better position, which will also result in a more esthetic facial profile, and at the same time help with overall health. Until I delved into learning more about dental sleep medicine, I really had no understanding of the utmost importance of how having an optimal airway can affect so many body systems!  The biggest impact of airway health is sleep.  If poor airway can result in poor sleep, one can imagine the negative cascading consequences to the body of having a poor airway. Common chronic symptoms and ailments such as sinus infections, TMJD, headaches, acid reflux, and even constipation could be linked to poor airway anatomy.  Other more serious chronic diseases such

Message from Our Hygiene Team 3/22/2020

March 22,2020 A Message from the Hygiene Team at Dr’s Goodman. Ko and Bressler’s Office To all our valued patients: we want to say we miss you and are thinking of you during this very difficult time. We are reaching out to you today NOT with information about COVID-19 but rather to support you in maintaining good oral health. For information regarding office protocol for COVID-19, please visit our office webpage at All of us on the hygiene team know how hard you have worked to maintain your oral health at home and how much you depend on your continuing hygiene care appointments to help you achieve that health. We believe we are a team (you and us), each playing a role in achieving your best oral health. These are unprecedented times right now, and we are following the recommendations from various health organizations and government agencies. We are adapting how we can continue to support you. Although hygiene appointments are cate

Food For Thought

In the past year or so, as we learn to help our patients with sleep apnea, I got more and more interested in cranial facial development.  The shape of the face, shape of the jaw, and alignment of teeth, do have repercussions throughout the body.  We have noticed people with crowded lower teeth, enlarged tongue for the space, chronic mouth breather - all tend to have smaller airways, which in turn led to compromised breathing and other chronic health issues. During the holidays, we visited the MET museum in NYC.  The mummy of Nesmin (see below) caught my eye.  Armed with new knowledge of cranial development and eyes to spot abnormality, I noticed the CT scan of the mummy almost 2400 years ago, had enough arch space for ALL four 3rd molars.  His teeth were perfectly aligned with some wear.  Scientist determined that Nesmin was a middle-aged man.  In ancient Egypt where there was likely NO DENTAL FLOSS, NO ORTHODONTIST, NO DENTIST, how did a middle age man managed to keep all of his

Long Purchasing Cycle of Dentistry

We make decisions on purchases on a daily and weekly basis.  Things like where to get gas, coffee, groceries, or lunch are decisions we consciously or sometimes subconsciously decide.  With these products, if you will, the purchasing cycles are short.  Products with short purchasing cycle are not as critical when one makes a suboptimal decision.  If the salad is bad in this restaurant, simply go to the next cafe around the corner next time.  Not a big deal.  On the other end of the spectrum, there are products with long purchasing cycle - such as a house, a car, and appropriately for this blog: a dental procedure (or dental office).  I am sure nobody signs papers on purchasing a house on a whim.  And nor should anyone pick a dental office by randomly pointing to a map. Because we know how long the "purchase cycle" is for dental procedures in general, we absolutely do not take short cuts, or use inferior products when it comes to treating our patients.  We (all the doctors a

Technology In Implant Dentistry

We are all experiencing it.  Technology is advancing faster than we can all imagine.  I can still remember the 16 bit floppy disk I used to boot a computer, and look at what we can do with our phones today. It is the same in dentistry.  Everyday, we hear about better materials, better techniques, and better tools - to help us treat out patients better.  This results in more comfort, less cost, and definitely less invasive dentistry. It is especially true for implant dentistry.  Often times, we can remove teeth, place implants, and give our patients a bridge that screws into the implants on the same day. (above) The implant positions were pre-determined using 3D x-ray, and pre-designed on the computer.  A guide that was 3D printed fit over the patient's existing teeth (or gum tissue).  Surgery usually is more precise, less invasive, and with shorter recovery time.  Because we can accomplish much more in shorter period of time, the per implant cost is also greatly reduced. 

Great Dentistry Takes Practice

When it comes to dentistry and medicine, "practice" does make perfect.  But I wanted to add, practice with the intention to get better every time, makes more of a difference.  There are some diagnosis or procedures I would not have came up with just a few years out of school.  Below are the restorations I recently did.  They certainly look a little better than the ones I've done 15 years ago when I started my career.  Having done over 10,000+ restorations, my restorations probably should look this good. However, if one practices with the same methods, same techniques - even after 10,000 restorations, the results will look the same. We constantly tweak, evolve, and adjust our methods.  Having three dentists in the office certainly helps.  With combined 50+ years of practice, we share ideas, methods, to do things more efficiently and better.  We admire each other's work but also learn from each other's mistakes.  They all results in better patient care.  Not only

You Can Floss Less!

I had the pleasure of meeting this young lady earlier this week.  She came in for a cavity which happens to be between her two molars.  She was a little bummed out about her cavity.  Her most recent x-ray showed many more small cavities we decided to watch because they are still in the enamel.  This is how the conversation went, I said:  "I am going to take care of this cavity for you, but flossing will help you prevent or at least slow down all these small cavities" - assumed that she does not floss daily based on the x-rays in front of me. "I do floss!  I floss three times a day!"  She protested. "Really?  Three times?  When do you floss?"  I can tell that she was telling the truth. "When I get up in the morning before breakfast, after lunch, and after dance.  I don't know what else I can do?" she sounded defeated. "When is your dance class?  Before or after dinner?"  I asked. "Before dinner" she replied.