Hudson Valley’s premier husband and wife cosmetic dental team, Dr. Kunwar Nagpal and Dr. Ram D. Phull opened their practice, Nagpal Dental Associates, in 1983 in Port Jervis, New York. Now they have three dental practices in Orange and Sullivan Counties and hold faculty positions at New York University College of Dentistry. The practice, whose staff numbers eight dental professionals, provides general dentistry for children through adults plus a full range of cosmetic services, surgical services, prosthetic dental implants and TMJ (temporomandibular joint) treatment.
“Advanced aesthetic dentistry and implant dentistry are the niche market for the country. People are very, very conscious about their smiles. Periodontal treatment, orthodontic treatment and dental implants are incorporated into the art and science of dental aesthetics now,” Dr. Nagpal says, “the latter of which may include veneers, single crowns, onlays, inlays, bridges, direct restorations and the latest bleaching techniques.
“Your smile is actually designed on a laptop,” says Dr. Nagpal, “so you can visually see and show the patient what they will look like when it’s all over.”
Patients suffering from jaw and bite problems associated with TMJ disorders are treated by Dr. Phull. “TMJ can give you all kinds of pain,” says Dr. Phull. “There maybe pain in and around your ears, a tender jaw, a popping in your mouth, clicking noises in your jaw, headaches and neck aches. It can be constant or erratic.”
Whether caused by accidental trauma, troublesome oral habits like teeth grinding, a misaligned bite, arthritis, gum disease or another source, TMJ may be handled in a variety of ways from less invasive practices like exercises, muscle relaxants and mouth protectors to more extensive treatments such as corrective surgery or injections.
Dr. Nagpal stresses pain-free dentistry, including the use of a computer-controlled local anesthesia instead of conventional injection. He also uses laser dentistry which allows for some dental procedures to be performed with little anesthetic and no noise, pain, heat or vibrations. “Laser dentistry,” says Dr. Nagpal, “can be used for some cases of gum surgery, tooth drilling and cavity filling. Soft tissue surgery can be performed without scalpels or blades and there is no bleeding and no stitches.”
Both doctors research the latest advancements, such as replacing bone loss with DNA growth factors and bone proteins, and are dedicated to education of the dental community. Dr. Nagpal is an Assistant Clinical Professor of the Advanced Aesthetic Dentistry Program at New York University College of Dentistry. Dr. Phull is the Co-Director of the TMJ Joint Replacement Center at the Hospital for Joint Diseases in Manhattan and Clinical Assistant Professor of Oral and Maxillofacial Pathology, Radiology and Oral Medicine, and Assistant Director at the Orofacial Pain Clinic at New York University College of Dentistry.
“We like to be at the cutting edge of research,” says Dr. Nagpal.