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General Dentistry

 

Dental Hygeine
Tooth Colored Fillings
Crowns
Inlays
Bridges
Dentures
Extractions
Root Canals
Gum Disease Treatment



At the Kurpis Center for Advanced Dentistry, we are committed to your long-term dental health. In addition to the many advanced dental procedures we offer, we also provide general dentistry services to our patients. Our office provides all services necessary to achieve and preserve optimal oral health. Our goal is to improve, maintain, and protect your smile.

Dental Hygiene


Regular cleanings and check-ups are the most basic ways to maintain a healthy oral cavity and to catch any potentially harmful problems before they become serious issues. Seeing a dentist 3-4 times per year for professional cleanings and examinations ensures proper oral hygiene and prevents the development of advanced dental problems. Tooth decay, gum disease, oral infections, and oral lesions can be identified, treated, or even prevented by seeing a dentist regularly.

At the Kurpis Center for Advanced Dentistry, your dental hygiene visit will include a thorough professional cleaning and home hygiene instructions, an expert diagnostic examination including careful analysis of digital x-rays, an evaluation of your teeth and gums, and an oral cancer screening to ensure your oral cavity is free of any abnormal or precancerous lesions. Our dentists will also make any recommendations for additional treatments that may be necessary. We want to protect your dental health and help you avoid future dental work by catching problems early. Prevention is really the best medicine!


Dr. Kurpis Examing a Patient

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Tooth Colored Fillings

Tooth colored dental fillings are used to repair damaged tooth structure caused by decay, wear, or trauma. They are also used to replace old, unsightly silver fillings. During the filling procedure the decayed or damaged portion of the tooth is removed and the area is prepared for a filling. The tooth is then restored with a composite resin material. Composite resins, also known as "bondings," are sculpted and contoured to the tooth and fused into place with a special light gun. They are then smoothed and polished. Composite resins work well for filling small to medium-sized cavities, repairing broken or chipped surfaces, or closing the spaces between teeth. They are color matched to your natural tooth, making them blend very well with the rest of the tooth. Our tooth colored fillings are durable, long-lasting, and effective at repairing decayed and damaged portions of teeth.


Before and after composite filling

 

Crowns

A dental crown is a permanent restoration used to repair, protect, and restore function to a badly damaged tooth. Crowns are frequently placed on teeth that are broken, have been treated with root canals, or on dental implants. They are also used for cosmetic reasons to hide unsightly flaws in teeth such as cracks or discolorations.
 
When a tooth needs a crown, the entire outer surface of the tooth must be drilled away so there is enough space to cover it with a crown. An impression is then taken and sent to a dental laboratory where a custom crown is fabricated. The crown is then sent back to one of our dentists who permanently cements in onto the tooth.


Before and After with Crown

 

Three types of crowns can be made in a dental laboratory: all metal, porcelain-fused-to-metal, or all porcelain. All porcelain crowns are the most attractive and look the most natural in the mouth. At the Kurpis Center for Advanced Dentistry we use modern techniques and the most esthetic dental materials so our crowns look and feel realistic and comfortable. In fact, they are virtually indistinguishable from other teeth in the mouth.

 


Ugly crown on the left replaced with nice porcelain crown on the right

 

Inlays

Composite resin fillings are routinely used to repair chipped teeth, to correct small spaces between teeth, or to fill small cavities caused by decay. Sometimes, however, the hole left in the tooth by decay is very large and cannot be properly restored with a composite filling. Other times, large, dark, old silver fillings must be replaced and the resulting hole left in the tooth is too large for a composite restoration. The composite filling is simply not strong enough to repair such a large defect, yet there is enough natural tooth structure left so that a full crown is not necessary. When this situation arises we often recommended a different type of restoration known as an "inlay."
 
Inlays can be fabricated from gold, porcelain-fused-to-gold, all porcelain, or composite. Porcelain inlays, although attractive, have a high fracture rate. Composite inlays are more resilient and are more commonly used today. In order for a tooth to receive a composite inlay, the decay or old silver filling must be removed and the tooth must be properly prepared. An impression of the tooth is taken and sent to a dental laboratory where an inlay is fabricated out of a very esthetic tooth-colored material. The inlay is then sent to one of our dentists who permanently cements it onto the tooth. Inlays are strong, esthetic restorations that can last several decades.

 

Bridges

When one or more teeth are missing from the mouth, there are several treatment options for improving your smile. One option is known as a fixed bridge. If a tooth (or teeth) is missing, an artificial tooth is made to fill the space and the two neighboring teeth on either side of the space receive crowns which provide stabilization for the false tooth. The procedure for a bridge is similar to that of a crown. The teeth on either side of the space are drilled to receive crowns. An impression is taken and sent to a dental laboratory where a porcelain-fused-to-metal or all porcelain bridge is fabricated. The bridge is sent back to one of our dentists who permanently cements it onto the neighboring teeth, thus closing the space.

The durability and longevity of a bridge is best if the natural teeth bordering the space are strong and healthy. A bridge can also be supported by dental implants.

Dentures

Sometimes many teeth or all teeth are missing and fixed bridges or implants may not be viable treatment options. In these cases, partial or full dentures may be the only option to replace missing teeth.

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Partial dentures are used when there are a few remaining teeth available in the arch to attach to an appliance. Partial dentures may be secured by metallic clasps that anchor the partial to the remaining teeth. They may also be secured by invisible attachments known as "semi-precision attachments" which anchor a partial to crowns placed on some of the remaining teeth. Both metallic clasps and semi-precision attachments stabilize the partial denture during eating and speaking.


Full dentures replace an entire set of teeth when all the teeth are missing in one arch. Fit and comfort of a denture depends on the amount of available bone and the quantity and quality of the person's saliva. Upper full dentures are typically secured by the suction created between the denture and the roof of the mouth. Lower full dentures are held in place by their fit over the lower gums and jaw bone.

Implant-retained dentures are removable like traditional dentures but are held firmly in place by dental implants. No more need for sticky glues to hold dentures in place! Implant-retained dentures are more stable in the mouth, provide improved function, and do not put stress on the remaining teeth in the mouth. These dentures provide you with more comfort and more confidence.


Losing teeth often leads to many serious negative side effects which affect your physical appearance, the health of your mouth, and the health of your body. These include: shifting and breakdown of remaining teeth, difficulty speaking, difficulty chewing and eating, malnutrition, shrinking of the jaw bones, cracks and fissures in the corners of the mouth, and changes in facial appearance. Dentures can address these problems and can maintain your health, appearance, and self-confidence.

Extractions

An extraction is a common procedure in which a tooth is removed from a socket or space in the jaw surrounded by bone and soft tissue. Teeth need to be extracted for a variety of reasons such as decay, periodontal (gum) disease, impactions, trauma, crowding, and root canal failure, among others.


Extractions can be either simple or complex. During a simple extraction the dentist removes the tooth by loosening the gums around it, grasping the tooth with forceps, and moving the tooth from side to side until it loosens from the ligament that holds the tooth in its socket. At times a complex, or surgical, extraction is performed to remove a tooth from its socket. This is the case if a tooth has broken down below the gum line, or if the crown of a tooth breaks off leaving the roots remaining in the socket. The dentist does not have any strong tooth structure to grasp with forceps and cannot simply wiggle the tooth out of its socket. In these instances the tooth needs to be surgically removed

After a tooth is extracted the soft tissue and bone surrounding the tooth socket often collapse, leaving an empty or weakened area where the tooth used to be. The socket fills in with soft tissue but the important bone, which will be needed for a future implant or prosthesis, is lost. However, bone loss following an extraction can be prevented. At the time of the extraction the dentist can perform a procedure known as socket preservation. This procedure entails placing a regenerative bone grafting material into the empty socket to stimulate bone growth where the tooth used to be. A membrane may also be placed to prevent the down growth of gum tissue into the empty socket.

Many patients prefer to have some level of sedation during their extraction(s). While this is not at all necessary, we offer 3 different levels of sedation to provide you with total comfort and relaxation during your appointment.
 
Most patients prefer not to return to work on the day of their extraction(s), usually due to some minor post-extraction bleeding and discomfort. We will provide you with post-operative instructions and pain medication to help you feel comfortable while you are healing.

Root Canals

A "root canal" refers to a procedure whereby a dentist or endodontist removes the nerve tissue and blood vessels from the inside of a tooth. Despite its negative reputation, a root canal actually provides an amazing service. It allows a dentist to save a decayed or infected tooth that would otherwise have to be extracted.
 
During root canal treatment, the nerve, blood supply, and connective tissues are removed from the spaces inside the tooth and the tooth is cleaned, sterilized, and sealed. A root canal is necessary to repair a tooth whose nerve is damaged from decay or trauma. It is also necessary to stop pain associated with an irritated or infected tooth.


A "root canal" refers to a procedure whereby a dentist or endodontist removes the nerve tissue and blood vessels from the inside of a tooth. Despite its negative reputation, a root canal actually provides an amazing service. It allows a dentist to save a decayed or infected tooth that would otherwise have to be extracted.
 
During root canal treatment, the nerve, blood supply, and connective tissues are removed from the spaces inside the tooth and the tooth is cleaned, sterilized, and sealed. A root canal is necessary to repair a tooth whose nerve is damaged from decay or trauma. It is also necessary to stop pain associated with an irritated or infected tooth.

Gum Disease Treatment

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Periodontal (gum) disease, which includes gingivitis and periodontitis, is a progressive inflammatory condition affecting the tissues and bone supporting the teeth. Periodontal disease is the leading cause of tooth loss among adults; in fact, 75% of adults are affected at some point in their lifetime by gum disease. Not only does periodontal disease lead to the shifting, loosening, and loss of teeth, it is also harmful to your body. Bacteria and toxins that accumulate in the inflamed gums can enter your bloodstream, where they can have a serious negative effect on your overall health.

There are many warning signs of periodontal disease.  These include:

  • Red, swollen, or painful gums
  • Bleeding when brushing, flossing, or eating hard foods (such as apples)
  • Receding gums, resulting in teeth looking longer
  • Bad breath or a persistent metallic taste in the mouth
  • Loose or shifting teeth
  • Deep pockets between the teeth and gums
  • Pus between the teeth and gums

 

However, periodontal disease can also progress without any signs or symptoms.  This is why it is very important to have regular dental check-ups and periodontal screenings.  Gum inflammation and bone destruction are often painless, and the disease can progress significantly before your realize there is a problem.

Proper dental care is vital to maintaining healthy teeth and gums. At the Kurpis Center for Advanced Dentistry, we have an experienced Periodontist (gum specialist) on staff ready to treat any issues you may have with your periodontal health. Please contact us at your earliest convenience to schedule a consultation.

 

 

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545 Rt 17 South Ridgewood NJ 07450 201-447-9700
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