PRIYU GUPTA  D.D.S.
Diplomate, American Board of Periodontology
354 Old Hook Road #201 . Westwood, NJ 07675 . (201) 664-3023

Services Provided

Scaling and Root Planning

Scaling and Root Planning

The first step in the treatment of Periodontal Disease is a procedure called Scaling and Root planning which is essentially a “deep cleaning.” The purpose of Scaling and Root Planning is to scrape the plaque and other harmful deposits from the roots of the teeth. If the removal of the plaque and tartar from the roots of your teeth doesn't resolve the cause of the gum disease, the next step of treatment is required which is surgical intervention.

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Cosmetic Gum Procedures

Cosmetic Gum Procedures are aimed to improve your smile. In order for your smile to be pleasing, the gums need to be in the correct shape. Some patients may need their gum tissue to be shortened due to a "gummy smile" while some patients may need to increase their gum dimension due to recession.

Dr. Gupta will do a full smile analysis in order to determine what is required. The treatment which the patient needs is determined on where the patient's lip is while they smile. Dr. Gupta has extensive training in smile design and aesthetic gum treatment.

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Gum Grafting

Gum Grafting

This procedure is performed in order to restore any loss of gum. Gum tissue does not only function for aesthetics but also provides a tight seal around each tooth. This seal prevents plaque bacteria to access the gum and bone. Your dentist or Dr. Gupta may recommend performing a gum graft in the situation where the gum loss has become so severe that there is no longer a seal of the gum tissue with the tooth.

Gum grafting is a procedure which patients frequently need if there is a lack of healthy and strong gum tissue around the base of the teeth or if there is a considerable degree of gum recession. There are many options of how to do these types of procedures. Gum grafts can be taken from the patient's own gum tissue either from adjacent sites or the palate or even by using synthetic gum tissue products. The decision as to which technique is used is depended on the amount of grafting required. Dr. Gupta's high level of training in gum grafting has given her the ability to offer a variety of treatment options and an in depth understanding as to which technique is best suited.

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Crown Lengthening

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A cavity is below the gum line, preventing it from being filled easily.
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Dr. Gupta gently opens the area.
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She then contours the bone to lower the gum line.
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The bone has been lowered which will lower the level of the gum when it heals.
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The area has been closed up and now the cavity is exposed and can be filled.
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The cavity has been filled and the procedure is done.

Crown Lenghening is a procedure typically required by your general dentist in order for them to place a healthy and sealed crown on a tooth.

When a cavity or tooth deformity extends under the gum tissue, the general dentist cannot remove all the decay and therefore cannot place a crown. Some gum tissue needs to be removed and shaped to allow more exposure of the tooth surface. After healing from this procedure, there will be a couple millimeters of additional tooth surface exposed from under the gum, which then the general dentist could shape to place a crown.

The healing time for this procedure is 4-7 days.

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Osseous Surgery

Osseous Surgery

Patients with periodontitis develop holes called defects in the bone around their teeth cause by bacteria which live within deep gum pockets. In order to prevent further bone loss, osseous surgery is performed. Osseous surgery is a minor surgical procedure which reduces gum pockets, removes the infected gum tissue and reshapes the uneven and unhealthy bone defects.

Before your surgery, the patient would need to have a “deep cleaning” called scaling and root planning. Also, strict oral hygiene must be enforced in order to ensure good results.

Osseous surgery is the most affective and predictable way to treat gum disease. It creates a healthy environment that promotes long term maintenance and prevents recurrent disease.

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Bone Regeneration

Bone Regeneration

“Bone Regeneration” is performed in many situations in periodontics. The sole purpose of bone grafting is to regenerate any loss of bone. Bone grafting is performed around teeth when bone defects exist due to periodontal disease or is performed around dental implants in order for the implants to integrate.

Bone Regeneration procedures can reverse some of the damage caused by periodontal disease which will improve the prognosis and long term survival of natural teeth.

Dr. Gupta is the most qualified and trained to perform complex bone grafting procedures including sinus grafting and ridge augmentation.

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Sinus Grafting Surgery

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Insufficient Bone Below Sinus
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Implant After Sinus Augmentation

For optimal results and longevity, dental implants require sufficient quality and quantity of bone and tissue within the jaw. In the mouth, there may be naturally occurring, diseased, or deformed areas requiring bone and tissue grafts before implants can be placed.

The maxillary sinus is a hollow, air filled spaces located directly above the back upper jawbone (maxilla). The proximity of the maxillary sinus to the upper back jawbone can cause an insufficient amount of alveolar bone required to place a dental implant to replace premolar and molar teeth. In addition, if an upper molar or premolar is lost, the edge of the sinus cavity can move and intrude on the jawbone, further reducing the area suitable for implants. Bone resorption caused by tooth loss can make the posterior maxilla severely compromised.

Sinus grafting surgery or sinus “lift” is a method to help prepare the posterior maxilla for successful implant treatment by increasing the alveolar bone height. This is accomplished by raising the floor of the sinus. Room is thus created for placement of bone graft material to allow new bone to form. After a period of time, implants can be placed into the newly grafted maxillary bone. The end result of this procedure is an improved survival rate, allowing for long-lasting implants that will improve both the esthetic aspect and functionality of the patient’s mouth.

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