David A Goodman, DMD Alan C Ko, DMD

02/03/2026

This is what airway resistance looks like.
When the nostril collapses during inhalation, the body is struggling to pull in air.
And it’s often connected to anatomy.
Many of these patients also have:
• a narrow, high-vaulted palate
• limited tongue space
• scalloped tongue marks
• crowded jaws
• tongue tie

When the upper jaw is too narrow, the tongue has nowhere to rest.
So it presses against the teeth.
Breathing becomes harder.
Muscles overwork.
Sleep suffers.
Over time, this can lead to:
• mouth breathing
• grinding
• headaches
• fatigue
• poor focus
These aren’t random symptoms.
They’re connected.
UARS is a precursor of sleep apnea.
At Goodman & Ko, we evaluate teeth, jaws, tongue space, and airway together—because structure affects function.
Breathing should not feel like work.

02/02/2026

Say hello to stability with removable and nonremovable solutions that look and function like real teeth. Schedule a consultation at https://www.goodmanko.com/ to learn more about your options.

01/29/2026

This tooth had no fillings.
No pain.
No warning.
And yet… it fractured (still salvageable unlike the tooth in front).

Cracks don’t follow insurance rules.
They follow physics — and biology.
This patient has been on an SSRI for years.
Most people don’t know this, but SSRIs are strongly associated with increased clenching and grinding.
So when we look at a tooth, we don’t just see enamel.
We look at:
• medical history
• medications
• dental history
• bite forces
• fracture patterns
• long-term risk
Instead of waiting for: • nerve pain
• infection
• root canals
• or tooth loss
we crowned the tooth early.
Insurance denied it (as expected).
But early protection means:
✔ less pain
✔ fewer emergencies
✔ lower long-term cost
✔ higher chance of keeping the tooth
Reactive care is cheaper today.
Preventive care is cheaper over a lifetime.
Making the best decision for the patient — not for the insurance company — is what we believe in.

01/20/2026

This tooth didn’t fail overnight.
Hidden decay grows slowly—fed by diet, missed flossing, and time.
Better outcomes come from three things:
🥦 Better nutrition – less frequent sugar, more whole foods
🧵 Daily flossing – where toothbrushes can’t reach
🩻 Early diagnostics – X-rays before pain starts
Do all three, you will be decreasing your chance of invasive dental work.
That’s modern preventive dentistry.
That’s what we focus on at our office.

01/19/2026

Today, we honor the legacy left behind by Martin Luther King Jr. This day is about equality, justice, and helping others rise against the odds.

01/17/2026

Same teeth. Same patient. Same software.
Two completely different outcomes.
This patient has: • clenching & grinding for decades
• chronic jaw pain & headaches
• worn teeth + a new night guard every ~2 years
• repeated chipping of upper front teeth
To an untrained eye → “minor crowding.”
Some plans would retract teeth.
Some would suggest 10 veneers.
But her teeth weren’t the real problem.
She has an under-developed upper jaw, trapping the lower jaw backward.
The grinding, pain, and chipping were symptoms — not the disease.
Plan 1 (AI-generated retraction):
✔ straight teeth
❌ tighter airway
❌ more joint stress
❌ worse long-term outcome
Plan 2 (expansion forward & outward):
✔ space for the lower jaw
✔ less muscle strain
✔ healthier joints
✔ stable teeth
Your body whispers before it screams.
Teeth chipping and jaw pain are warning signs.
Orthodontics should fix the cause — not just line up the symptoms.

01/17/2026

01/11/2026

“No pain = healthy.”
But periodontal disease works differently.
It causes slow bone loss, and bone has no pain receptors.
So everything can feel “fine”… while damage is happening underneath.
By the time it hurts, treatment is harder, more expensive, and sometimes irreversible.
Early checks = simple.
Late discovery = complex.
This is why regular gum exams matter.

Additionally, while you feel fine, bacteria and inflammation can enter the bloodstream and affect:
❤️ your heart
🩸 blood sugar control
🧠 brain health
🤰 pregnancy outcomes
Dentistry isn’t separate from medicine.
Your mouth is part of your body.
Early gum exams protect more than just teeth.

01/11/2026

Professional teeth cleaning can remove plaque and tartar from your teeth for a healthier smile. Book a consultation at https://www.goodmanko.com/ for a brighter, healthier smile.

01/09/2026

A narrow jaw at 5 years old isn’t “just a phase.”
Mouth breathing.
Enlarged tonsils.
Restricted airway.
Wet pull ups.

Expansion is only the first step—but early intervention can reshape how a child breathes, sleeps, and grows.
Sometimes the biggest wins in health happen before symptoms become permanent.
Share this with a parent who believes in early action.

01/05/2026

Composite fillings can help repair cavities while preserving your oral health and helping you maintain the beauty of your smile. Learn more at https://www.goodmanko.com/

01/05/2026

Early diagnosis is often the difference between saving a tooth and losing it.