Robert Raimondi, DDS

Is your toothpaste too abrasive? RDA is the residual dentin abrasiveness. May I recommend that you google your favorite toothpaste to find out how abrasive it is. Charcoal and whitening toothpastes are of the worst offenders. This can cause you to brush away enamel making your teeth weaker and to look yellow and may erode your gums causing gum recession. Send a message and I will forward you the list use dentist use to refer to.

Week 27. Test #27.

A shout out to @starbucks for the support of healthcare workers. 2020 has been a tough year for many of us. The responsibility to be here for my patients and to work harder than ever to run our business for our families and teams has been felt everyday. Thanks for the love! @drsclafani

The dental care asle can be so confusing. Truth is it's confusing to most dentists how many products there are. What really counts is on the back of the label, active and inactive ingredients. How can I help? What are the things that you consider in your decisions in selecting a product? Here are the things to look for with toothpaste: Anticavity agents that help prevent tooth decay such as different types of fluoride: sodium fluoride, stannous fluoride, or monofluoroph...osphate. Fluoride binds in the crystalline structure of your tooth. We love fluoride because it binds stronger than the natural occurring compounds in your tooth structure. Desensitizing agents, such as potassium nitrate, that helps to limit temperature changes from stimulating the nerve within your tooth causing discomfort. Antimicrobial agents, such as stannous fluoride, pyrophosphate or zinc that help reduce plaque and aid with gum health. Abrasive particles - please look up the RDA, residual dentin abrasiveness of your toothpaste to make sure you aren't causing harm to you teeth or gums. Detergents that cause your toothpaste to be foaming and soapy. These can irritate the soft tissues of your mouth.

Please go vote. I’m so happy to see unpresidential voter turnout. No matter who wins, let’s make sure we work together over the four years to support each other in our daily lives, no matter which political side you are on. Remember when we all just got along?

Welcome to the world Juliette. We are so excited to finally meet you. Thank you for adding to the list of wonderful things that occured in 2020.

Today is our last day as a family of 3. So excited to meet our baby girl. 2020 was been a crazy year, I have to thank it for this amaizng gift.

My fellow co-founder of @onemanhattandental @drsclafani and I had a good time with @dacyknight @byrdiebeauty discussing common home remedies you can keep your smile looking young and white! 1. Rinsing with Coconut Oil/Oil Pulling: This is fine but you still need to do all regular hygiene steps - floss, brush, clean tongue, rinse. Questionable effectiveness. ... 2. Strawberry paste (alone or mixed with baking soda): No this is not a thing, acidic and has sugar 3. Fibrous foods that act as natural exfoliants (celery, apples, etc.) We do like to advocate these if you are going to snack on something and can help to scrub away stains 4. Brushing with apple cider vinegar NO NO NO. very acidic and can cause tooth/enamel erosion. 5. Baking soda (in products, brushing with a paste) baking soda has a pH opposite of acidic which is alkaline. this helps to lighten stains on teeth and is mildly abrasive so be careful because one can overuse it. One can make a slurry with it and apply to their teeth. This can also help to kill bacteria 6. Consuming more calcium once an adult consuming extra calcium will not strengthening nor whiten your teeth. 7. Rubbing a banana peel on your teeth (I had no idea this was a thing, so I'm interested to hear from an expert!) Yes this is a thing. It can actually exfoliate some of the external stains. 8. Limiting coffee/other liquids that may stain Coffee, wine, dark pigmented fruits/vegetables can stain your teeth. Using a straw and being mindful how you eat certain foods can help your teeth from becoming stained. 1. What are the main differences between at-home whitening and professional whitening? They are all mostly made of a hydrogen peroxide gel. At home are of a lower percentage and profesional are much higher with a range. the lower the percentage the less effective it is but can also cause a lower degree of sensitivity. The lower percentage ones will note be able to have the same effect as the professional strength. 2. Are there any tips or advice for attempting home whitening or similar DIY oral care? Most of these are utilizing abrasive materials which only remove stains but can also remove enamel and harm

Trust and honesty. These two people are the humans I spend more time than anyone else in my life. Nadine and Jeatte are my practice manager and assistant. Last week we celebrated our work anniversary. I hired Jeanette 5 years ago and Nadine 4 years ago. We have been through a lot in this time. What impresses me most with these two is how as coworkers we can be completely honest, work hard, and still have fun. We work hard to collectively support each other like a family. It means the world to me that you trust me to come along this journey with me. Thank you for being by my side and for making me laugh every single day! I’m excited to see where we go from here, we have some things to do...

At what angle do you hold your toothbrush? When you are brushing you should always angle the bristies of the brush towards your gum tissue approximately 45 degrees. Besides removing plaque from your exposed tooth structure, brushing at the proper angle can clean within the sulcus of your gum tissue which is several millimeters deep.

Root canal or a dental implant . This decision sometimes is mostly about your philosophy of treatment for yourself. There are teeth that simply require root canals and when performed by a root canal specialist have a 10 year prognosis above 90%. Someone loses a tooth and it is replaced by a dental implant, the 10 year prognosis is also above 90%. But commonly with dentistry there is a problem and there is not a black or white treatment decision. This is when we enter t...he zone of gray. One of the most frequent debates in dentistry is with a tooth that has an infection and has some other issues with it. The common questions is to perform a root canal and possibly crown or to extract the tooth and restore the empty space with a dental implant. I am guessing many endodontists side with trying a root canal before accepting the tooth as failing and many surgeons will want to take a tooth out to replace it with a high prognosis dental implant. If there is a tooth with questionable or guarded long term prognosis, determined by your dentist, you have to ask your provider some questions: 1. How would they rate the problem and the current condition of your tooth. Assign it a grade or assess it from 1-10. 2. What are the costs of both treatment options? Typically they will be similar upfront. 3. How long will each treatment be good for? Impossible for the real answer but in their experience. 4. Will delaying a more permanent treatment affect the prognosis for when that treatment will be necessary. Things you need to consider: 1. Your age and your health condition. How long will you hope to use your teeth? Will delaying treatment make you find yourself in a complicated health situation where you may not be able to get the treatment. 2. Do you prefer maintaining your own tooth as long as possible knowing that you may have to go through a second round of treatment or do you prefer to go through one round of treatment. 3. Do you have access to excellent dentists? 4. How does this treatment implant you financially? See more

So thankful for being featured in today’s @nytimes. Discussing how we @onemanhattandental are connecting with patients during this time and supporting their dental health! Thank you

You may hear that right now NYC is a scary place. That people are in drods fleeing. I live and work in Manhattan. I have spent much of my time here since March. My fellow new yorkers are strong, smart, amazing people. We love New York City because of many reason that we can not enjoy right now. We can still appreciate each other. My wife @jmaclarenraimondi and I have started going out to dine more and finding new ways to connect with people. Cities are the most environ...mentally sustainable way for our species to live, cites have been the strongest part of human civilization since ancient Jericho, Uruk, Baghdad, Greece, and Rome, just to name a few. This is one of the reasons me and co-founder of @onemanhattandental @drsclafani are going on all on our city and what we do for us that live here. I look forward to the moment, hopefully in the near future, where NYC is one of the most glorious places to be in our country. We miss the NYC we love, we look forward to it being back stronger than before. Do not believe me? Listen to some of the recent interviews with people much smarter than I am and their predictions. Messege me and I’ll send them your way. See more

Snacking can be one of the most detrimental habits to your oral health. Through evolution our salivary glands developed to function for true meals. For most of our existence we did not have the convenience to snack. When we snack a lower level of saliva is secreted and therefore you have less immune cells to fight off the bacteria that cause gum disease and cavities. Drinking a neutral or alkaline pH water can help reduce the impact of this occurring. Here I’m snacking ...on some homemade chia pudding, me, my wife and our son love. Recipe is as follows: 3 tbsp chia seeds 1 cup of cashew and oat milk 1 vanilla seed A touch of agave nectar @oatly @foragerproject

Worried about having bad breath? Please clean your tongue. Studies show that bacteria can accumulate along your tongue cells. This bacteria can contribute to bad breath by producing sulfur compounds along with adding to plaque and biofilm accumulation. Tongue Scrapers are the most effective way to clean your tongue. They are more effective than a toothbrush. There are several different designs of which we do not have a preference. ... The best technique is to start at the back of your tongue and move forwards while applying pressure. You should do this 2-5 times, rinsing the scraper each time. The best way to treat halitosis is by mechanically cleaning the surfaces that bacteria can reside. The things you can do that are most effective is to use a tongue scraper, floss and brush after meals, use an alcohol free mouth rinse, to use oral probiotics and to stay hydrated. I also support the using sugar free or xylitol containing gum or mints.

Had a nice time chatting with @makka_rena and the @nypost about some of the issues we are seeing in our practice because of patients wearing masks. We absolutely support mask wearing. People are now breathing from their mouth and not drinking enough water. The tissues of your mouth can become dehydrated and more susceptible to oppurnistic bacteria that cause cavities and gum disease. A few things you can try to combat a dry mouth include the following: Xylitol containin...g gum or lozenges such as: Orbit Gum, Pur Gum, Mouth rinses such as: Aloe containing "The Natural Dentist" or TheraBreath Dry Mouth Oral Rinse. We also like alcohol free mouth rinses such as Listerine Zero, Crest Prohealth, or Colgate total rinse. Look for the following ingredients: Cetylpyridinium chloride may be added to reduce bad breath. Both chlorhexidine and essential oils can be used to help control plaque and gingivitis. Fluoride is a proven agent in helping to prevent decay. Peroxide is present in several whitening mouthwashes. See more

Another week, another COVID-19 test. @sollishealth

Smile design. Here are the beginning steps of how we plan, design and communicate creating a smile. The process starts with discussing with the patient what are their expectation and what are the possibilities. Together with our lab and surgeon we then digitally plan the ideal treatment. After that we can create a mock up in their mouth so they can actually see what we have in mind. In this case, to get the ideal aesthetic result we are suggesting gum surgery. The mo...ck up shows how boxy and square the teeth will look if we do not do gum surgery. From this with the patient we decide on what our actual treatment will be. Next we fabricate surgical guides, tooth preparation guides all off of the digital plan. All of this planning helps to properly predict the outcome and makes sure that all of us involved with treatment are on the same page. It’s also fun. I am lucky to be able have exceptional dental support from exceptional dental technicians with cases like this from my in house tech and Justin and Stephaine at @midwestdentalarts I will show pictures of this treatment as it develops. See more

Dried fruit and Cavities (dental caries). @amybrudnick and I have this conversation In my practice, my hygienists and I see a relationship of patients over the age of 70 years old and the development of new large cavities, sometimes on several teeth. I generally try not to over state logic when giving opinions or making decisions when it comes to diagnosis and treatment. Whenever possible I prefer an evidence based approach based off of high quality research from reliabl...e sources and clinical experience. For me to make the direct correlation between individuals who consume dried fruit and the development of cavities I have to rely on my clinical observation and patients self reporting, a few of the least used forms of evidence. I must say that the correlation is definitely apparent. I understand that people consume dried fruit to get fiber in their diet but what is usually not known is the amount of sugar present with these fruits. Dried fruits are typically considered health foods which they are, but unfortunately it comes with the disadvantage of containing sugars. Most people are unaware of this . Whenever possible I try to persuade a shift to a different form of fiber. At the least I ask my patients to consume sticky sugars in conjunction with a meal, not as a snack. I also try to avoid correlating animal studies to humans, but I do like the approach in this 1983 animal study compared to the other evidence that is available on this topic. I would have preferred that they do this same study with humans. See more