Non-Surgical Periodontal Therapy

It is important to understand, periodontal disease has no cure. If it can be stabilized at an early stage then tooth loss can be prevented, but follow-up is key to maintaining periodontal health. Generally a person with a history of periodontal disease is seen for periodontal maintenance cleanings every 3 months. Periodontal disease treatment varies depending on the severity. Mild to moderate periodontal disease can be treated in a general dental practice; while more advanced periodontal disease might require initial treatment in a general practice with follow-up treatment at a gum specialist or periodontist. Severe cases should be immediately evaluated by a periodontist.

Treatment in a general practice involves a procedure called Non-Surgical Periodontal Therapy or scaling and root planing. In this procedure there is no cutting of the gums and in most cases no needles are required. NSPT is done a portion of the mouth at a time. It can be done in quadrants, half or full mouth at one appointment depending on the severity and insurance limitations. IN this procedure the gum is numbed. The pockets are then cleaned out using special instruments designed to remove debris way below the gumline on the root surfaces. Finally an antibiotic is placed in any pockets that are 5mm and above. This antibiotic dissolves over the next three weeks and destroys the bacteria that are causing the infection. The antibiotic allows the gum to heal without the bacteria interrupting the process.

About a month after the completion of periodontal treatment a follow-up is necessary to remeasure the pockets and evaluate healing. If any pockets remain they are treated again with an antibiotic. After periodontal therapy it is very important to have periodontal maintenance cleanings every three months. It takes 90 days for the bacteria to recolonize, to a damaging state, below the gum. Three month cleanings break up the bacteria before it can cause serious damage. If there are pockets still they can be treated with a locally placed antibiotic. Three month cleanings help avoid future break-down and additional full-mouth treatments.

Alan Rosenfeld D.D.S.

Dr Rosenfeld is the owner of the practice. Dr Rosenfeld did his undergraduate studies at The City College of New York and attained his dental degree from The New York University College of Dentistry. Dr Rosenfeld graduated as a member of the Omicron Kappa Upsilon Dental Honor Society and received The NYU Founders Day Award for academic excellence. He is a member of the Westchester Academy of Restorative Dentistry, The New York State Society for Forensic Dentistry, The American Dental Association and the NYS Dental Association. Dr Rosenfeld has taken numerous courses over the years in Cosmetic and Implant Dentistry. He works with a team of surgeons to offer his patients the latest in implant services, such as dental cat scans to help determine exact implant placement. Dr. Rosenfeld is married with a daughter, son and 2 grandsons. He is an avid exerciser, loves home construction, wine and the outdoors. He also prides himself on keeping his office up to date and making sure his staff enjoys their days at work. He wants his office to run seamlessly so that everyone, especially the patients, will be happy.

Lawrence J. White, DDS

Dr. White is from Northern New Jersey. He received his Bachelors Degree in Sociology from Boston University in 1976 and graduated from Howard University College Of Dentistry in 1981. Larry was a resident at the Bronx Lebanon Hospital before going into private practice with his father, where he served the Bronx community for over 20 years. Dr. White enjoys all aspects of General Dentistry and is proficient in Cosmetic Dentistry, Oral Surgery, Endodontics, and restoring Implants. He has provided dental care to nursing home residents and is active in various dental study groups and continuing education.

Michael Pilar

Dr.Michael Pilar is a part time member of our staff. He is a graduate of Washington Square College of New York University and The New York University College of Dentistry from which he received his D.D.S. degree in 1964. Dr. Pillar is a general dentist currently limiting his practice to TMJ/TMD disorders. He treats patients with head and neck pain as well as migraine headaches. He and his wife Bonnie have been married for 44 years and have two daughters and two granddaughters. His hobbies include travel and good wine.

Leonard Mann D.M.D.

Dr. Leonard Mann is a native of New Jersey. His undergraduate degree is from New York University. He received his Dental degree at The University of Medicine and Dentistry of New Jersey in Newark. He is an independent practitioner in our office, accepting many insurance plan benefits as full payment. He has been in practice for over 30 years. He prides himself on taking the time to communicate with his patients. He has taken numerous continuing education courses to stay up to date in the dental field. He is married with four daughters and two granddaughters.

Shira Reback R.D.H.

I have had the pleasure of working at Rockland Dentist since 1998. I began as a dental assistant and became the Dental Hygienist for the practice in 2002. I have completed many additional courses in the treatment of periodontal therapy, nutritional counseling and cosmetic whitening. I love having the opportunity to give the patients here the best care they can receive. My favorite thing is seeing the improvement in a patient’s oral health and smile as they become a part of our family. We help people smile proudly every day. Motivating people to take charge of their oral health and overall health is empowering. When I am not in the office I teach kickboxing. I am working towards becoming a Certified Personal Trainer. I’ve studied many types of martial arts over the years. I have an amazing daughter Elizabeth. I love animals, especially my dog Magnus. I enjoy hiking, running and obstacle course racing.


I have been working with Dr. Rosenfeld since 1994 as the Lead Dental Assistant. Besides assisting, my major office activity is making sure we do not run out of supplies. My husband and I have two daughters in college. We enjoy going out to local restaurants on the weekends. During the summer we love spending time with our family and friends around our pool.


I have been with Dr. Rosenfeld since 1995. I am a certified Dental Assistant and am happy helping our patients in whatever way I can. My husband Rick and I have three sons and enjoy boating, skiing and camping. We love spending time upstate enjoying nature and just relaxing.


I have been working with Dr. Rosenfeld since 2006 and I am currently his office manager. I have been in the dental field for 12 years. If you have any questions about the office you should speak to me. I am well experienced in working with dental insurance companies, and I will try to make sure your claims are taken care of in a timely manner. I can answer any questions you have, from scheduling convenient appointments to making financial arrangements. I am the first person who will greet you when you visit our practice and hope to make you feel welcome and at ease. My husband Gerard and I have two sons. On the weekends we enjoy motorcycle riding, gardening and taking long walks along the Hudson River.


I am a lifelong resident of Rockland County and have 2 daughters and 4 grandchildren. My husband and I enjoy spending time with family and trips to the Cape. I’m a graduate of St. Vincents Hospital and School of Nursing and have been in the dental field for 16 years. Being a part of Dr. Rosenfelds staff is both a pleasure and rewarding because patient care is of paramount importance.

Dentist Tappan, NY 10983