Locations
Office
Sanbornville, NH
About
Bio
Special Care & Family Dentistry
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Dentistry
Licenses
United States: Maine, New Hampshire
Languages spoken
English
Doctor Q&A
39 Answers
121 Agrees
The number of answers this doctor has agreed with.
A 55-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Check with doctor: A burning and fissured tongue is possibly a nutritional deficiency. Check with your pcp for an exam and treatment.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 36-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Yes and soon: Several questions need a reply. How old is she? How long ago did this occur? Is there any discomfort? How significant is the damage? Dental trauma is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 57-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Yes!: If nothing else, your dentist can evaluate this issue and treat it or refer you as needed.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 44-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Possibly: Check out osteogenesis imperfecta. Although there are other possibilities, if there is a familial history of these issues this is worth considering.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 43-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
More info needed..: You don't say why you're considering stopping or how long your treatment is expected to take. Occlusal stability (how your bite currently presents) c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 29-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Ask your doctor: As with all oral surgery, post operative instructions are provided to you at the time of treatment. If you didn't get these or didn't understand them... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Consultation needed.: With your permission, your dentist and treating physician should discuss your needs, medical status, and dental treatment anticipated.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Natural/bleaching: First, there is individual natural variation in tooth color. Some people have naturally white teeth. Some are yellow. Some are grey. People have blo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 38-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Consult the surgeon.: You should check with the surgeon who removed the cyst or another ENT or oral surgeon, who can surgically treat the scar tissue if necessary.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 33-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Certainly,,,: Particularly with aging and several medications, dry mouth can occur. The type of bacteria and pattern of decay changes as dry mouth occurs. Furthermo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 25-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Probably not...: Many people have an exaggerated gag reflex, particularly on the deeper lateral borders of the tongue and on the poterior palate. Try using a smaller h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 31-year-old male asked:

Dr. James Manninganswered
Dentistry 45 years experience
Doubtful...: While this is possibly early candida, the most likely source are the normal papillae in that area. If they begin to spread and come together that cou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Implant procedure: Current methods include small incision, cylinder placement, healing period, then appropriate prosthetic replacement from single teeth to full overdent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Multiple types: There are at least two forms-proliferative with a white removable coating & atrophic with a distinct border & redness. Both need treatment by a quali... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 21-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Not usually...: Persistent moderate discomfort is common, but "throbbing" pain is not. Contact your provider for a post operative check.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. James Manninganswered
Dentistry 45 years experience
Ignore: Use a "pea sized" amount of an ADA approved fluoride toothpaste three times a day.
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsAnswered >2 years ago
A 48-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Agree and ...: Worn toothbrushes tend to fray & tangle at the bristle ends, thus are less effective. If it looks worn, it's time for a new soft never hard bristle t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 20-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Simplest is best: Simple salt and water is the best in this circumstance. A level teaspoon in a drinking glass of warm water should work. You should see your dentist a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Absolutely: Brushing with proper technique (Google the modified Bass method) 3x a day is ideal.
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 24-year-old male asked:

Dr. James Manninganswered
Dentistry 45 years experience
Your dentist: Dentists have specific training in oral pathology. Either they or an oral surgeon can determine what you have. If treatment is needed, you'd most li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 60-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Maybe...: If you have an evaluation by an oral surgeon, they should be able to advise you correctly.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 23-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
May not be but...: Halitosis (bad breath) may not be the cause of the problem, but it can be a health issue, it could be anything from periodontal disease to gerd to dia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
NSAID analgesic : This situation is quite transient, but is uncomfortable. The proper use of Ibuprofen or naprosyn (naproxen) (Motrin or Aleve) should manage the disco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 24-year-old male asked:

Dr. James Manninganswered
Dentistry 45 years experience
Possibly...: if implants are placed only in the lower arch, which is common, the vertical height can collapse. If placed in both upper & lower that can't happe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Pattern varies, but: Eruption pattern may vary in any given case; usually lowers before uppers and front before back. The most important issue is symmetry - whatever the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 49-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Slow leakage: These are formally known as an exophtic hematoma, aka "liver clot." they occur when inadequate hemostasis, such as biting on a sterile gauze, is not m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Embassy or consulate: There are liaison personnel in each facility to assist in case you need healthcare. If these are not available, consider a university medical center.
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 55-year-old male asked:

Dr. James Manninganswered
Dentistry 45 years experience
Both work...: Best advice is to follow your post operative instructions from your surgeon.. They know your situation best. If you're unsure contact them directly.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. James Manninganswered
Dentistry 45 years experience
Ignore: Good daily oral hygiene: flossing & brushing with fluoride toothpaste at least twice a day.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. James Manninganswered
Dentistry 45 years experience
Ignore: Current implant success rate equals or even exceeds root canal therapy.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 63-year-old male asked:

Dr. James Manninganswered
Dentistry 45 years experience
Get to your dentist: While this can be many things, you should get him into his dentist soon. They will evaluate this lesion and may either provide treatment or refer thi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 24-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Could be...: Normal anatomy in this area includes various lumps and bumps. If this is one you have just noticed or it has changed in size or shape or color, it wo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
See your dentist: Although it may be more serious and in need of additional treatment, this may only be a tooth with an occlusal/biting interference. A simple adjustme... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 22-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Possible bite issue: You need to see your dentist for an evaluation. It's possible you have a temporomandiblar joint issue.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Any pain/discomfort.: You don't say if you're having pain or discomfort from this. If you're having pain then this could be another type of infection, including thrush. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 23-year-old female asked:

Dr. James Manninganswered
Dentistry 45 years experience
Please clarify...: Your statement is somewhat difficult to understand. Could you clarify your syntax? Aggressive toothbrush use of any type can be detrimental. Your de... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 37-year-old male asked:

Dr. James Manninganswered
Dentistry 45 years experience
Ignore: Avoid extreme opening. If yawning, place a fist under chin to restrain opening.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
Yes: An extraction while on such medications is possible with proper management. See an oral surgeon to receive the care you need.
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 39-year-old member asked:

Dr. James Manninganswered
Dentistry 45 years experience
While unlikely...: While unlikely, there is the potential for systemic involvement; particularly for mandibular posterior teeth. Serious infection in lower molars can r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
66
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Manning is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Manning is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
If a gen. dds says he can, then he can. Thanks. Bye!
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer was very helpful! ggfg
Education & Training
Medical/Graduate school
Georgetown University School of Medicine, DC
Graduated 1978MD
Awards
Thought Leader, Third Place, Manchester Region, NH - Summer
2013
Top Dentist, Third Place, New Hampshire - Summer
2013
Most Influential, Second Place, New Hampshire - Spring
2015
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