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373693?1200358116
Michael H Kirsch, DDS  
Male
Caldwell - NJ

Specialties: Oral Surgery, Maxillofacial, Wisdom Teeth, Bone Grafting, dental implants

Dr. Michael H. Kirsch
973-226-8444
16 Smull Avenue
Caldwell - NJ
Oct 10, 2009 05:50PM in the Oral and Maxillofacial Surgery Expert Forum
Forum rules only allow to answer one question per posting. However, I can tell that you are concerned so I will do my best. 1. Unlikely 2. Yes, cortisol level change with varying degrees of stress and my influence your condition. 3. Yes 4. No, there are no absolutes in medicine. 5. It is unlikely to have HIV in the absence of negative repeated sero...
Aug 27, 2009 09:06AM in the Oral and Maxillofacial Surgery Expert Forum
Your question poses many different responses. If the tooth is perforated by the post and this is the cause of the infection, then extraction will be the most likely remedy. Certainly dental implants are one treatment alternative but tooth removal is considered the last resort to eliminate the disease or preserve the remaining bone. I am glad to hear yo...
Aug 22, 2009 06:53PM in the Oral and Maxillofacial Surgery Expert Forum
There definitely is a connection between bisphosphonates like Fosamax and osteonecrosis of the jaws. This has been well established and documented in medical and dental journals. An oral and maxillofacial surgeon is the type of doctor that most commonly diagnoses and treats this condition.
Jun 19, 2009 05:35PM in the Oral and Maxillofacial Surgery Expert Forum
White patches that rub off leaving a red and/or sore area is most consistent with an oral fungal infection. This can be confirmed by a simple scraping in the doctors office. Often times a presumptive diagnosis will be made based on clinical exam and topical antifungal medications may be prescribed. A feeling of dry mouth is also consistent with this diagno...
Jun 16, 2009 03:12PM in the Oral and Maxillofacial Surgery Expert Forum
What you have described may represent several things. Traumatically induced lesions are the most common followed by inflammatory. Infectious is certainly one but I would not be too quick to worry as auto-innoculation of the herpes virus of the lip to inside of the palate is unlikely. Minor salivary gland lesions are uncommon in your age. Generally, tr...
May 23, 2009 03:12PM in the Oral and Maxillofacial Surgery Expert Forum
The most likely explanation to your symptoms is that the nerve inside the tooth may be inflammed. This can occur when the cavity and therefore the filling is very close to the nerve inside the tooth. The condition is called irreversible pulpitis and the treatment is root canal therapy. There are simple tests a dentist can do to confirm this diagnosis. T...