Paul Fletcher, DDS

Paul Fletcher, DDS

Associate Clinical Professor

Department of Periodontics and Endodontics

Appointments: (631) 632-8971

Department: (631) 632-8955

Email: paul.fletcher@stonybrookmedicine.edu

Address:
Rockland Hall
Stony Brook, NY 11794

Education

DDS: University of Maryland School of Dentistry, 1968

Residency: General Practice, Veterans Administration Medical Center, Portland, OR, 1974

Residency: Periodontics, New York Veterans Hospital Medical Center, New York University College of Dentistry, 1976

Research Interests

Diagnosis, prevention and treatment of inflammatory peri-implant disease


Original Articles

Kotsakis G, Fletcher P, Rosen P, Tarnow D, Rakic M. “What is the evidence base for peri-implantitis treatments?” Website of the European Federation of Periodontology: Publications Hub. 31 August 2025.

Salle, M., Deluiz D., Fletcher, P., Santoro, M., Tinoco, E., Decontamination and repair protocol promotes positive outcomes in implants affected by peri-implantitis, a human case series. Int J. Periodontics Restorative Dent., 43(6):698-705, 2023.

Guimares, T., Marques, B., de Castro, M., Secco, D., Porto, L., Tinoco, J., Tinoco, E., Fletcher, P., Fischer R., Reducing the viral load of SARS-CoV-2 in the saliva of patients with COVID-19. Oral Diseases., 28:1-7, 2022.

Linden, E., Cobb., C., Fletcher, P., Zhao, D., SEM evaluation of the effects of laser mediated implant surface decontamination: An in situ human pilot study. Int. J. Periodontics Restorative Dent., 41(5):711-717, 2021.

Fletcher, P., Linden, E., Cobb, C., Zhao, D., Rubin, J., Planzos, P., Efficacy of removal of residual dental cement by laser, ultrasonic scalers, and titanium curette. Compendium of Continuing Education in Dentistry. 42(5) e-206, 2021.

Tarnow, D., Hochman. M., Chu, S., Fletcher, P., A new definition of attached gingiva around teeth and implants in healthy and diseased sites. Int. J. Periodontics Restorative Dent., 41(1):43-49, 2021.

Fletcher, P., Tarnow, D., Circumferential Occlusal Access Procedure (COAP): Novel minimally invasive surgical approach for treatment of peri-implantitis – A case series. Compendium of Continuing Education in Dentistry, 39:626-635, 2018.

Saito, H., Chu, S., Zamzok, J., Smith, R., Fletcher, P., Reynolds, M., Tarnow, D., Flapless postextraction socket implant placement: The effects of a platform switch-designed implant on peri-implant soft tissue thickness – a prospective study. Int. J. Periodontics Restorative Dent., supplement 0:s9-15, 2018.

Constantinides, C., Chang, J., Fletcher, P., Management of an ailing implant utilizing a minimally invasive flapless surgical technique: A case report. Clin. Adv. Periodontics, 7:201-206, 2017.

Fletcher, P., Deluiz, D., Tinoco, E., Ricci, J., Tarnow, D., Tinoco, J., Human histologic evidence of re-osseointegration around a peri-implantitis affected implant following decontamination with sterile saline and antiseptics – a case history report. Int. J. Periodontics Restorative Dent., 37:499-508, 2017.

Deluiz, D., Olivera, L., Fletcher, P., Pires, F., Tinoco, J., Tinoco, E., Histologic and tomographic findings of bone block allografts in a 4year follow up: A case series. Brazilian Dent. Jour., 27:775-780, 2016.

Deluiz, D., Oliveira, L., Fletcher, P., Fabio, R., Nunes, M., Tinoco, E., Fresh-frozen bone allografts in maxillary alveolar augmentation: Analysis of complications, adverse outcomes, and implant survival. Journal of Periodontology, 87:1261-1267, 2016.

Schwarz, F., Becker, K., Bastendorf, K-D., Cardaropoili, D., Chatfield, C., Dunn, I., Fletcher, P., et al., Recommendations on the clinical application of air polishing for the management of peri-implant mucositis and peri-implantitis. Quintessence Int., 47:293-296, 2016.

Chu, S., Tarnow, D., Fletcher, P., Clinical decisions: determining when to save or remove an ailing implant. Compendium of Continuing Education in Dentistry, 37:2-13, 2016.

Fletcher, P., Constantinides, C., Resolution of a peri-implantitis defect using sterile saline for surface detoxification: A case report with clinical re-entry. Clinical Advances in Periodontics, 5:235-241, 2015.

Tarnow, D., Fletcher, P., Histologic evidence of the ability of dermal allograft to function as a barrier during guided bone regeneration-a case report. Clinical Advances in Periodontics, 5:201-207, 2015.

Bhattarai, M., Yuan, W., Fletcher, P., et al., Rare manifestation of granulomatosis with polyangiitis. Clinical Advances in Periodontics, 3:45-50, 2013.

Tarnow, D., Fletcher, P., Saito, H., Brown, M., Cyst in alveolar mucosa adjacent to a dental implant following connective tissue grafting for ridge augmentation. Clinical Advances in Periodontics, 1:34-38, 2011.

Fletcher, P., Concepts for modern implantology: Peri-implant disease. Dimensions of Dental Hygiene, 9:44-48, 2011.

Fletcher, P., Biologic rationale of aesthetic crown lengthening utilizing innovative proportion gauges. Int. J. Periodontics & Restorative Dentistry, 31:523-532, 2011.

Chu, S., Fletcher, P., Mieleszko, A., Clinical application of innovative measurement gauges for predictable correction of tooth size / proportion and gingival architecture discrepancies. Quintessence Dental Technology, 31:49-60, 2008.

Chu, S., Hochman, M., Fletcher, P., A biometric approach to aesthetic crown lengthening: Part II – interdental considerations. Prac. Proced. Aesthet. Dent., 20:529-536, 2008.

Tarnow, D., Elian, N., Fletcher, P., Froum, S., Magner, A., Cho, S., Salama, M., Salama, H., Garber, D., Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. Journal of Periodontology, 74;12:1785-1788, 2003.

Tarnow, D., Fletcher, P., The two-to-three month postextraction placement of root form implants: A useful compromise. Clinical Reviews in Dentistry, 2;1:1-6, 1993.

Tarnow, D., Magner, A., Fletcher, P., The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. The Journal of Periodontology, 63;12:995-998, 1992.

Tarnow, D., Fletcher, P., Root resection vs. maintenance of furcated molars: The controversy continues. The New York State Dental Journal, 55;9:3-9, 1989.

Tarnow, D., Fletcher, P., Splinting of periodontally involved teeth: Indications and contraindications. The New York Journal of Dentistry, 52;5:22-25, 1986.

Fletcher, P., Nifedipine (procardia) and gingival hyperplasia: A new diagnostic concern for practitioners. The Journal of the Ninth District Dental Society, 70;2:52-53, 1984.

Tarnow, D., Fletcher, P., Classification of the vertical component of furcation involvement. Journal of Periodontology, 5;5:24-28, 1984.

Fletcher, P., Tarnow, D., The interproximal brush and toothbrush abrasion. Periodontal Case Reports, 5;2:40-43, 1983.

Stahl, S.S., Wyman, B., Fletcher, P., Crevicular tissue as donor tissue for free gingival grafts. Journal of Periodontal Research, 12:450-455, 1977.

Scopp, I., Fletcher, P., Wyman, B., Tetracyclines: Double blind clinical study to evaluate the effectiveness in periodontal surgery. Journal of Periodontology, 48:484-490, 1977.

Fletcher, P., Scopp, I., Hirsch, S., Oral manifestations of secondary hyperparathyroidism related to long-term hemodialysis therapy. Oral Surgery, Oral Medicine, Oral Pathology, 43;2:218-224, 1977.

Wyman, B., Fletcher, P., Scopp, I., Tarnow, D., The importance of root concavities in periodontal therapy. New York Journal of Dentistry, 46;6:201-207, 1976.

Fletcher, P., Acute necrotizing ulcerative gingivitis: Sequelae following treatment with silver nitrate, New York Journal of Dentistry, 46;4:122-127, 1976.

Guest Scientific Editor

Implant Dentistry in the 21st Century, Alpha Omegan Journal, Volume 90, #2, 1997.

Paul Fletcher DDS, practiced in New York City for more than 40 years as a member of Specialized Dentistry of New York, a group implant, cosmetic specialty practice. He is currently an associate clinical professor at the Stony Brook University School of Dental Medicine, where he teaches both periodontics and implant dentistry. He has had more than 30 papers published and has lectured extensively on periodontal prosthetics, implant dentistry and peri-implant disease, both nationally and internationally.