To All Our Patients:

Starting Tuesday, May 19, our office will be open for all services and treatment.

We are giving extra time for procedures and we will limit some availability in our schedule to help with social distancing.

Here are some of the measures we have established during the recent COVID-19 outbreak:

  • Our door will remain open to prevent the need to touch the handle.
  • We ask that all patients entering our reception area wear a facial barrier/mask.
  • Each patient will be asked to apply hand sanitizer, whether or not they are wearing gloves.
  • Each patient will be asked to complete a ‘triage’ form to help determine their health.
  • Each patient will have their temperature taken and noted before any treatment or exam begins.
  • No employee will be allowed to come into the office if they have signs of illness or if they have been in proximity to someone who is ill or has been exposed to COVID-19.
  • All measures of safety protocols will be taken to ensure the health of our patients and staff including proper use of PPE and Universal Precautions that have been keeping patients and staff safe for over 3 decades.
  • All surfaces will be disinfected after each patient visit including treatment rooms and reception area.
  • We have installed special HEPA filtration throughout our office including treatment rooms and common areas.


* Reserved upcoming appointments before the viral outbreak. We will be asking to confirm your       appointment; in some cases, we will have to move your appointment due to availability.

* Appointments cancelled due to COVID-19 to reschedule.

It will be the patient’s choice to keep appointments, make appointments or to postpone appointments.

Please feel free to contact us to reschedule or check on your appointment now.

We anticipate that Dr. Gail Sakamoto will be back in our office in mid June and we are scheduling appointments for her accordingly. Our associate dentist, Dr. Shahira Saad, is stepping in for Dr. Gail on Wednesdays until her return.

Please bear with us as we slowly get back up to speed. Our #1 priority remains the health of our patients and staff.

Our Hours:

Tuesday: 8:00 – 5:00 p.m.*

Wednesday 8:30 – 5:00 p.m. *

Thursday: 8:00 – 5:00 p.m.*

Friday: 8:00 – 2:00 p.m.*

* All times are subject to change due to patient demand and staff availability.

Drs. Koshki & Sakamoto


Dental Fun Facts

Did you know that Americans cite bad breath as the least attractive trait a co-worker can have? Be more popular around the water cooler and brush after lunch.

Cap the paste but not the brush. Covering the brush can trap moisture and encourage bacteria growth. Yeah, we know. Gross, huh?

The average women smiles about 62 times a day, while the average man smiles only 8 times. Women are also more likely to brush their teeth and visit the dentist regularly. Think there might be a connection here?


MacGyver claims dental floss works well as a cake cutter, makeshift clothesline, replacement fishing line, picture hangers and much more. Our favorite use for it? Cleaning your teeth. Dental floss has played a role in many attempted prison breaks, used as everything from a rope to a chainsaw. None have been successful. We suggest flossing with it.

Bottled water doesn’t contain the tooth-decay fighting fluoride, which is added to most municipal water supplies. Ditch the bottle and drink from the tap.

Saliva helps you eat by breaking apart food particles and cleaning your mouth afterwards. The average person produces 10,000 gallons of saliva over their lifetime (no data as to how much winds up as spitballs).

Sports, accidents and fights are the leading cause of tooth loss in people under the age of 35. Play it safe and wear a mouth guard.

Each day, the average person spends 8.5 hours sleeping, 1 hour eating, 7.2 minutes volunteering and only 50 seconds brushing their teeth. Set your alarm 2 minutes earlier and squeeze in some extra brush time. Dentists recommend 2-3 minutes twice a day.

Americans spend $100 billion per year on hair care products – and only $2 billion a year on dental care products. What good is great hair without a great smile?

The next time you want to play hooky, head to the dentist for a cleaning instead. Last year alone, adults missed over 164 million hours of work – and children missed over 51 million hours of school for dental related problems.

If flossing properly, the average person should use 122 yards of floss per year. Twenty-eight percent of people claim to floss daily, but annual sales data shows only an average of 18 yards of floss are sold per person. We think someone’s fibbing.

Spearmint Sparkle. Peppermint Breeze. Chocolate Mint? The next time your dental hygienist asks you to pick a flavor of paste, consider this – the ancient Romans used a mixture of bones, eggshells, oyster shells and honey to clean their teeth! We recommend you stick with the paste.



It’s not hard to find some really scary teeth in movies, especially from villains. We can all enjoy a good laugh at these photos, but we can also feel good about our own pearly whites. Seeing Dr. Koshki and his Team of experienced hygienists on a regular basis can help keep your teeth healthy and beautiful for your lifetime.

Have you seen some incredible teeth in TV or movies? Post on our Facebook page and show us!



Chewing ice may be refreshing, but it can be risky to your teeth!

Are you an ice chewer? For whatever reason you’re satisfied by the cool crunch of ice, it can seriously damage your teeth.

chewing-ice-dr-koshkiTHEY WEREN’T BUILT FOR IT!

Your teeth are designed to last you a lifetime with proper care, but they were made for food only. Chewing ice, a habit your teeth were not built for, can cause a host of problems to your teeth. Fracture lines, cracking and chipping can all occur, which can make the teeth more sensitive and lead to further damage. In addition to your natural teeth, any dental work you may have is also subject to chipping and cracking that can lead to pain and costly repairs.

Ice chewing has also been linked to cases of anemia. If you find yourself constantly chewing ice, check with your physician to make sure there isn’t an underlying reason for your habit.


In the meantime, if you must have something to chew on, dentists recommend sticking to sugarfree gum. And leave the ice in the ice machine!


When we are anxious we might chew on pencils or pens, finger nails or straws. Chewing on these non-food items can also wear down or fracture teeth. Some of us remove plastic tags or loose threads by biting them. Some people have even used their teeth to unscrew bottle tops! Dr. Koshki reminds us to treat our teeth kindly; after all, we want them to last a lifetime. His best advice: Don’t use your precious teeth as tools!

CoQ10 and Receding Gums

CoQ10If you’ve ever had a sensitive tooth or receding gums where the roots were beginning to become exposed, you know exactly how extraordinarily painful mouth problems can be. And if you’re a chronic sufferer, you’re probably ready to try just about anything to rid yourself of the pain. Gum disease can cover many problems, from swelling, redness, bleeding and pain to receding of the gums — all of which CoQ10 is said to be able to treat. So should you begin loading up on the CoQ10 supplements?

Unfortunately, for those looking for a quick fix, the answer is “possibly.” CoQ10, especially when paired with Vitamin C, may strengthen your gums [source:Cuneo]. This can be particularly beneficial for receding gums. Studies have also shown that people who have gum disease have low CoQ10 levels, leading to the conclusion that some CoQ10 supplements can help them in that case [source: University of Maryland Medical Center]. However, not enough widespread studies have been conducted yet to determine conclusively if CoQ10 supplements can help gum disease, so your best approach may be some CoQ10 treatment combined with an aggressive practical regimen of regular cleanings, thorough brushings, and routine flossing using proper techniques.

KEEPING YOUR TOOTHBRUSH CLEAN – Why it really matters:

KEEPING YOUR TOOTHBRUSH CLEAN – Why it really matters:

flexYou probably have no clue how much gross stuff is hiding on your toothbrush.

That humble implement meant to help you clean your teeth, get rid of plaque and prevent cavities may harbor such hazards as Staphylococci, coliforms, yeasts and intestinal bacteria, according Dr. Koshki and his dental colleagues.

“The oral cavity is home to hundreds of different types of microorganisms, which can be transferred to a toothbrush during use,” Dr. Koshki tells us.

And some of these organisms can cause dental decay and periodontal disease — the two major dental diseases in adults.

But wait, there’s more. Your toothbrush may even carry fecal germs.

“Most toothbrushes are stored in bathrooms, which exposes them to gastrointestinal microorganisms that may be transferred via a fecal-oral route,” says Dr. Koshki.

These organisms, called enteric bacteria, can transfer to toothbrushes and into people’s mouths due to inadequate hand-washing or the microscopic droplets released from the toilet during flushing.

The Discovery Channel TV show “Mythbusters” tested 24 toothbrushes and found enteric microorganisms on all of them — even those that had not been inside of a bathroom.

flex2So what can you do to help reduce these dangers and keep the gross stuff off your brush and away from your mouth?  Dr. Koshki offers these tips–

Clean your brush. You should thoroughly rinse toothbrushes with potable tap water after brushing to remove any remaining toothpaste and debris. Dr. Koshki also recommends soaking your toothbrushes in an antibacterial mouth rinse.

Store the brush properly. Leave your toothbrush in an upright position and allow it to air dry. Don’t store the brush in a closed container because a damp environment is more conducive to the growth of microorganisms. If more than one brush is stored in an area, keeping them separate to prevent cross-contamination.

Buy a new brush often. Toothbrushes should be replaced at least every three to four months or when bristles become frayed and worn, whichever comes first.

Don’t share! This seems like a no-brainer, but a large proportion of spouses admit to sharing toothbrushes, meaning that they are also sharing the bacteria on those brushes.

Get a new brush if you’ve been sick. Any illness that can be transmitted through body fluids should warrant separation of the toothbrush of the infected individual and, if economically feasible, replacement of the toothbrush after the illness.

Wash, wash, wash!  And please, wash your hands after using the toilet and prior to using your toothbrush.

Dr. Koshki also recommends that people use mouth rinse prior to brushing and get routine dental care, including regular cleanings.

Your best bet against bacterial contamination of your toothbrush is Sonicare FlexCare Platinum Plus – featuring a UV sanitizer.  We proudly provide the opportunity for our patients to purchase this excellent toothbrush in office.  Check our Seasonal Specials for rebates and coupon offers.

Natural Remedies to Reduce Pain

natural-remedies-to-reduce-painThis list provides many natural and holistic remedies for minimizing pain

  1. Eliminate or radically reduce processed foods, grains, and processed sugars from your diet. Avoiding grains and processed sugars will lower your insulin and leptin levels and decrease insulin and leptin resistance, which is one of the most important reasons why inflammatory prostaglandins are produced. That is why stopping sugar and sweets is so important to controlling your pain and other types of chronic illnesses.
  2. Optimize your production of vitamin D by getting regular, appropriate sun or safe tanning bed exposure, which will work through a variety of different mechanisms to reduce your pain.
  3. Emotional Freedom Technique (EFT) is a drug-free approach for pain management of all kinds. EFT borrows from the principles of acupuncture, in that it helps you balance out your subtle energy system. It helps resolve underlying, often subconscious, negative emotions that may be exacerbating your physical pain. By stimulating (tapping) well-established acupuncture points with your fingertips, you rebalance your energy system, which tends to dissipate pain.
  4. Astaxanthin is one of the most effective fat-soluble antioxidants known. It has very potent anti-inflammatory properties and in many cases works far more effectively than anti- inflammatory drugs. Higher doses are typically required and one may need 8 mg or more per day to achieve this benefit.
  5. Ginger: This herb has potent anti-inflammatory activity and offers pain relief and stomach- settling properties. Fresh ginger works well steeped in boiling water as a tea or grated into vegetable juice.
  6. Curcumin: In a study of osteoarthritis patients, those who added 200 mg of curcumin a day to their treatment plan had reduced pain and increased mobility. A past study also found that a turmeric extract composed of curcuminoids blocked inflammatorypathways, effectively preventing the overproduction of a protein that triggers swelling and pain.
  7. Boswellia: Also known as boswellin or “Indian frankincense,” this herb contains specific active anti-inflammatory ingredients. This is one of my personal favorites as I have seen it work well with many rheumatoid arthritis patients.
  8. Bromelain: This enzyme, found in pineapples, is a natural anti-inflammatory. It can be taken in supplement form but eating fresh pineapple, including some of the bromelain-rich stem, may also be helpful.
  9. Cetyl myristoleate (CMO): This oil, found in fish and dairy butter, acts as a “joint lubricant” and an anti-inflammatory. I have used this for myself to relieve ganglion cysts and a mild annoying carpal tunnel syndrome that pops up when I type too much on non-ergonomic keyboards. I used a topical preparation for this.
  10. Evening Primrose, black currant, and borage oils: These contain the essential fatty acid gamma linolenic acid (GLA), which is useful for treating arthritic pain.
  11. Cayenne cream: Also called capsaicin cream, this spice comes from dried hot peppers. It alleviates pain by depleting the body’s supply of substance P, a chemical component of nerve cells that transmits pain signals to your brain.
  12. Methods such as yoga, Foundation Training, acupuncture, meditation,19 hot and cold packs, and other mind-body techniquescan also result in astonishing pain relief without any drugs.

Periodontal maintenance versus teeth cleaning…


Why am I not eligible for a prophylaxis? “I just want my regular teeth cleaning appointment.” Or “I don’t want to pay more out of pocket, doesn’t my insurance company know best?”

Your individualized Gum Care Program is a non –surgical approach to control periodontal disease. There is NO CURE for periodontal disease. It can only be managed or controlled.

The bacteria that causes periodontal disease begins to re-establish very soon after treatment. A 3-month RECARE visit is critically timed to disrupt this bacteria in pockets, in order to disable this destructive process at its critical stage. This critical stage is when the bacteria and their toxins do the most harm to the supporting structures, namely, the periodontal attachment.

For patients with history of adult periodontitis, supportive 3-month recare is not an option but a requirement for successful long-term management.*

Waiting longer than three months for recare may result in recurrence of active disease and inflammation, and may require anesthesia to eliminate discomfort when treating the inflamed sites. Your recare interval will be determined by your hygienist and dentist to best manage your oral health.

* According to the American Dental Association.