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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
Languages spoken
English
Doctor Q&A
60 Answers
12 Agrees
The number of answers this doctor has agreed with.
A 39-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Get medical exam: This is not something you should try to self-treat. When you have these symptoms, it's apparent you need a medical exam to determine the cause of wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Extractions?: You didn't mention if you had any teeth extracted in conjunction with your braces - in a small % of pts with crowded teeth, it sometimes requires extr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Need follow-up SOON!: Yes! you definitely need to see your medical practitioner soon - you likely have an infection that does not respond to penicillin (which does work w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Yes: Look for toothpaste that does not contain the ingredient sls (sodium laurel sulfate), which is a foaming agent in many pastes. Look for rembrandt tp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Because: Because sugar is a no-no, ask your md if xylitol is ok for your child - it fights tooth decay too!
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Need follow-up SOON!: Not sure how long these symptoms have been present, but this requires attention soon - you may have an infection that will not resolve on its own, a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Paul Brandanswered
39 years experience
Mouth ulcers: It really depends on what the cause of the ulcer is - it could be one of several different entities, and without a true diagnosis, you would just b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Paul Brandanswered
39 years experience
May be systemic: Oral bacteria are very often the cause of bad breath, but not all the time. Some people's breath is affected by their chemistry, which can be detecte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Different animals...: Canker sores aren't to be confused with cold sores (which result from herpes virus). Canker sores are not viral, and they are not infectious - they a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A male asked:
Dr. Paul Brandanswered
39 years experience
Re-check important: If spots on your tongue haven't improved after 3 wks, let your gp know that - it may need to be seen by either an oral surgeon or dermatologist, depe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Get it examined: You don't say if your dentist has examined you, but the dentist isn't someone to visit just when you have a problem. Things like this can most often... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Tongue not normal: See your dentist soon to examine your tongue. If he/she isn't sure what's happening, they can refer you to either an oral surgeon or internist, which... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Ask your doctor: As with all rx medications, steiva-a should be used as directed by your physician or whomever prescribed it. Your care provider should always be the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Gum color varies: All gingiva (gums) are "not created equal" - some are pink, some are grayish color, and sometimes areas are almost black. This can be due to pigmenta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Paul Brandanswered
39 years experience
Unknown origin: We do not know what causes canker sores in each individual who has episodes of them. They are often related to stress, but can also be caused by cer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Gum line abrasions: Yes! gum-line notches or abrasions don't get dramatically deeper if not restored, but the forces that cause them (biting stress, excessive brushing f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Canker sore rinse: We've had the best luck using a prescription mouthwash called chlorhexidine, which is an antibacterial mouthwash that tends to decrease the severity a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 16-year-old female asked:
Dr. Paul Brandanswered
39 years experience
May be relapse: You don't mention whether you wear a retainer on one jaw or both, but the fact that your bite is changing means someone should be examining you in per... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Paul Brandanswered
39 years experience
It depends.....: If the pineapple was rotten (sounds like it was), it's because the ripening process just went too far - possibly due to lack of refrigeration. Depen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Too many things.....: Depending on how long these have been present, there are too many possibilities of what this might represent - you should have this condition examined... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A female asked:
Dr. Paul Brandanswered
39 years experience
Don't stay away: All of the answers you've gotten are correct - you can certainly seek a 2nd opinion, but the fact is that no one can maintain a healthy mouth without ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A member asked:
Dr. Paul Brandanswered
39 years experience
May not be a problem: You didn't say what the symptoms are, but you may not even have the tubes any more - they frequently are lost over time. Also, they are placed to pre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Paul Brandanswered
39 years experience
Various types: Pulpitis can be either be reversible or irreversible, and the treatment for each is different - reversible can be from decay, biting stress, or othe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Treating canker sore: Canker sores are unpredictable, because they are not caused by an infection initially - they are similar to other autoimmune conditions, which are cau... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Brush only does part: You didn't mention if you use floss daily to scrape the sticky plaque off the surfaces in between your teeth that a brush cannot reach. The brush rea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Paul Brandanswered
39 years experience
Ulcer causes: Mouth ulcers come in a variety of different entities, and the causes are not always the same. It is important to have an ulcer examined by your denti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 26-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Multiple facets: Bruxism involves several areas of focus - first, a thorough occlusal (bite) exam should be done to discover what the actual bite relationship is, so t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 49-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Ongoing care: You didn't mention if you were in ongoing dental care, but if you had a serious enough condition to warrant treatment which resulted in an extraction... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A female asked:
Dr. Paul Brandanswered
39 years experience
Worth the investment: The fee for a properly designed, fabricated (with adj's included) bite splint or night guard, you are actually getting several years worth of a valu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Paul Brandanswered
39 years experience
How long post-op?: When were your wisdom teeth removed? Do you have any pain at the site of the wisdom teeth? How did you learn you have bilateral posterior cervical ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Paul Brandanswered
39 years experience
Really depends...: Since it's not possible to know everything else that's going on with you, the tongue condition warrants being examined by an oral surgeon, dentist, or... 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. Paul Brandanswered
39 years experience
Get it checked soon: The answers are correct, you should be examined soon by your dentist, as the longer a condition such as gingivitis and periodontitis (gum disease) i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 59-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Perio probing: There are vast differences in how it feels to have perio probing done, and it depends on the patient as well as whether a pocket is more or less infla... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 18-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Ask your care giver: Assuming you have an ongoing relationship with one or more therapists (you should), they are the best people to make recommendations about other medic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Paul Brandanswered
39 years experience
May be ok, may not..: I would want to know several things before being comfortable just monitoring this: 1) where is the odontoma - upper or lower jaw? 2) is it evident ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Paul Brandanswered
39 years experience
May be heart related: Yes! the location of radiating pain is not specific, and it can be cardiac (heart) related whenever there is chest pain - radiating or not. Whether ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 40-year-old female asked:
Dr. Paul Brandanswered
39 years experience
More info needed: Do you wear an appliance called a splint (or a night guard) to reduce the stress of clenching and grinding? If not, it would be wise to have a denti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 50-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Probable bruxism: Any time someone wakes up with sore teeth in the morning, it's very likely you grind or clench your teeth when sleeping. This places undue stress on ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 32-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Need follow-up SOON!: If a back tooth requires rct, it typically requires protection with protection either with a crown or an interim "build-up" which covers the whole bit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 40-year-old female asked:
Dr. Paul Brandanswered
39 years experience
It depends.....: Without knowing your dental status (your periodontal [gum & bone] health, any untreated dental conditions), it would be very difficult to relate the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 39-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Millisievert dosage: A panoramic dental xray typically contains 2-3 mrem, or 0.02 - 0.03 millisieverts if it is a digital xray. An older, film panorex would be several ti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsReviewed >2 years ago
A 31-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Is cause known?: The answer to you question depends on why your tongue is numb - was it injured or did it occur spontaneously? If you did not have an injury or surger... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.1k viewsAnswered >2 years ago
A 39-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Not necessarily: Depending on whether the panoramic xray was digital or not (digital has less radiation), your exposure with a panoramic xray is much less than almost ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Paul Brandanswered
39 years experience
More time needed: If tonsillectomy was 5 days ago, the tonsil beds are undergoing the process of sloughing, where the surgical areas lose the clotted "scabs" that form ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Paul Brandanswered
39 years experience
Depends...: The answer to what the prognosis is for someone with oral cancer having stem cell therapy is best sought from someone involved with her care - it i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Paul Brandanswered
39 years experience
Inflam or infection?: This location sounds like your mastoid process, which sometimes swells, becomes uncomfortable, and can fibrose (scar tissue) from inflammation or infe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 17-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Gum can help or not: Gum chewing, as long as it contains xylitol or is sugarless, has the benefit of creating less-likely environment for decay, because it increases sal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. Paul Brandanswered
39 years experience
Banana benefit: Banana peel has many good effects, but tooth whitening isn't one that has been identified yet, as of this moment. It is beneficial because it has goo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 49-year-old female asked:
Dr. Paul Brandanswered
39 years experience
Caries = decay: A carious lesion is another word for cavity or decay, and most cavities can be diagnosed (fortunately) before there are symptoms, making the treatme... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Paul Brandanswered
39 years experience
Metal taste in mouth: Not sure what you had done, but i would want to know exactly what was done - did you have silver fillings done (which leave a metal taste for a coupl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k 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.
3
Recommendations
110
Thank you notes
Mar 23, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
HealthTap member
Mar 30, 2015
Dr. Brand is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Brand is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! No I was nineteen when the done the surgery and never explained anything to me..I did unwired my own jaw about 2weeks later .
HealthTap member
Thank you, your answer was very helpful! Thanks so much Dr! i plan on going Thursday because unfortunately I still have to work :(
HealthTap member
Thanks for your quick reply! just extracted completely misaligned left upper second molar.
Education & Training
Medical/Graduate school
Univ of Michigan School of Dentistry
Graduated 1984MD
Awards
Top Doctor, Second Place, New Hampshire - Summer
2013
Top Dentist, First Place, New Hampshire - Summer
2013
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