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Periodontal Treatments in Flatiron, NYC

Healthy gums are the foundation of a healthy body. At SAMA, Dr. Jaskaren Randhawa combines advanced diagnostics, minimally invasive care, and a whole-body approach to treat gum disease at its source and protect your long-term wellness.

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Treat Gum Disease at Its Source to Protect Your Smile and Your Health

Periodontal disease is as much a systemic condition as an oral one. It is among the body’s most significant sources of chronic inflammation, with research linking it to elevated cardiovascular risk, poorly controlled diabetes, adverse pregnancy outcomes such as low birth weight, autoimmune conditions, and a markedly increased risk of Alzheimer’s disease. At SAMA, periodontal treatment begins with inquiry rather than assumption, a precise understanding of what is occurring beneath the surface, and why. Through oral microbiome testing and salivary diagnostics, the SAMA clinical team and Dr. Randhawa identify the specific bacteria and inflammatory markers shaping each patient’s individual risk, treating the disease at its origin rather than managing its symptoms indefinitely.

From there, care is calibrated with precision to the individual. In place of traditional dental cleanings, our foundational protocol is Guided Biofilm Therapy with EMS AIRFLOW — a refined, gentler method that removes significantly more bacterial buildup while preserving the integrity of the gum tissue. For earlier stages of periodontal disease, this is paired with scaling and root planing and laser bacterial reduction. For more advanced presentations, Fotona TwinLight Perio offers a minimally invasive path to genuine periodontal bone regeneration, supported by laser pocket reduction, Perio Protect, and ozone irrigation to reduce bacterial load and establish the optimal environment for healing. When surgical intervention is warranted, our board-certified periodontist, Dr. Balice, performs on-site gum grafting and other periodontal procedures, so you don’t need to seek care elsewhere.

This is whole-body dentistry, applied with precision: every protocol is selected not only to restore gum health but also to safeguard the systems connected to them. If you are noticing signs of gum disease or simply wish to understand your periodontal health before it becomes a larger concern. Call our office at (212) 575-7740 or book online. The sooner what lies beneath the surface is understood, the sooner it can be protected.

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What Are Periodontal Treatments?

Care That Targets the Root Cause of Gum Disease
Periodontal treatment is often understood narrowly as merely managing gum disease, addressed only once symptoms become apparent. At SAMA, it is approached differently. Because periodontal disease is now understood to be deeply connected to cardiovascular risk, diabetes, pregnancy outcomes, autoimmune conditions, and systemic inflammation throughout the body, treatment is never confined to the gums alone. It is approached as a matter of whole-body health, not an isolated cosmetic or maintenance concern.
This is what distinguishes periodontal care at SAMA from a purely reactive model. Diagnosis begins with precision: 3D and 2D imaging, radiographs, oral microbiome testing, and salivary analysis, allowing the SAMA clinical team and Dr. Randhawa to identify the specific bacteria and inflammatory markers driving each patient’s individual risk long before the disease progresses to a visible or painful stage. Treatment continues with the same rigor, utilizing advanced technologies such as laser and ozone therapy, alongside a board-certified periodontist on-site for surgical care, ensuring every stage of the disease is met with the appropriate level of precision. The goal is not simply healthier gums but a healthier patient: a distinction that shapes every protocol, every technology, and every recommendation made at SAMA.

Comprehensive Gum Evaluation & Oral Microbiome Testing

A precise, in-depth assessment of gum and periodontal health, combining clinical examination, including periodontal pocket depth measurements and advanced digital X-rays to evaluate bone levels, with salivary and microbiome analysis to identify the specific bacteria and inflammatory markers driving disease. This allows the SAMA clinical team to detect risk long before symptoms appear, forming the foundation for every subsequent treatment plan.

Guided Biofilm Therapy (GBT)

A refined alternative to traditional cleanings, Guided Biofilm Therapy with EMS AIRFLOW uses a plaque-disclosing agent to precisely identify bacterial biofilm, then removes it using advanced airflow technology that is more effective on biofilm and less abrasive than conventional methods. This more advanced, efficient approach delivers a deeper clean while helping to prevent the progression of gum disease before it takes hold.

Scaling and Root Planing (Deep Cleaning)

For patients with early-to-moderate periodontal disease, scaling and root planing address infection at its source by removing plaque and calculus below the gumline and smoothing the root surface to promote reattachment and healing. This foundational treatment remains one of the most effective methods for halting disease progression and restoring the health of the supporting tissue.

Laser Periodontal Therapy

Using the advanced Fotona laser, SAMA offers a comprehensive range of minimally invasive periodontal treatments, including laser bacterial reduction and laser pocket reduction, each designed to target harmful bacteria and diseased tissue with exceptional precision while supporting the body’s natural healing response. For more advanced cases of periodontitis, Fotona TwinLight Perio offers a path to true periodontal bone regeneration. Photobiomodulation (PBM) further accelerates recovery by reducing inflammation and stimulating cellular-level tissue repair, offering a gentler, more effective approach to periodontal treatment with reduced bleeding and faster recovery than traditional surgical methods.

Gum Grafting

Performed on-site by our board-certified periodontist, gum grafting restores tissue lost to recession, protecting exposed roots and reinforcing long-term gum stability. Beyond function, it also supports a more balanced, healthy appearance to the smile.

Crown Lengthening

This procedure reshapes gum and, when necessary, bone tissue to expose more of the natural tooth structure, whether to prepare a tooth for restoration or to refine the proportions of a smile. It is performed with precision to support both function and aesthetic harmony.

Ongoing Maintenance & Monitoring

Periodontal health requires sustained attention beyond active treatment, which is why SAMA provides continued monitoring, tailored maintenance schedules, and regular reassessment. This ongoing care helps ensure lasting stability and catches any signs of recurrence early.

What to Expect During Your Cosmetic Dentistry Visit at SAMA

A Thorough, Gentle Process From Start to Finish
01

Evaluation & Diagnosis

Dr. Randhawa evaluates your gums, bone levels, and supporting tissue using digital X-rays and periodontal charting. When helpful, oral microbiome testing identifies the specific bacteria behind your gum disease, so your diagnosis gets to the true cause, not just the symptoms.
02

Personalized Treatment

Your care is tailored to your diagnosis, whether that means Guided Biofilm Therapy, a deep cleaning, or laser therapy. Dr. Randhawa focuses on minimally invasive techniques that protect your natural tissue and keep you comfortable throughout.
03

Maintenance & Monitoring

Healthy gums need ongoing care. After active treatment, Dr. Randhawa reviews your results and sets a maintenance schedule to protect your gums, monitor for changes, and prevent the disease from returning.
Root-Cause Diagnosis
Minimally Invasive Care
Microbiome Testing Available
Ongoing Maintenance Support

What Are the Benefits of Periodontal Treatments?

Treating periodontal disease early and effectively offers benefits that extend well beyond the gums, protecting both your smile and your overall health.
  • Stopping gum disease before it progresses to bone or tooth loss
  • Reducing gum inflammation, tenderness, and bleeding
  • Eliminating persistent bad breath caused by an underlying infection
  • Supporting whole-body health, given the established links between gum disease, heart disease, and diabetes
  • Preserving your natural teeth for a lifetime — the foundation of both a healthy smile and long-term wellness
  • Restoring comfort, function, and confidence in your daily life

The SAMA Experience

A More Comprehensive Approach to Cosmetic Dentistry

Whole-Body Wellness, Rooted in Oral Health

At SAMA, periodontal care is never treated in isolation. Because gum health is deeply connected to cardiovascular risk, diabetes, pregnancy outcomes, autoimmune conditions, and systemic inflammation, every treatment plan considers the full picture of a patient’s health, not just the condition of the gums. Through precision diagnostics, including oral microbiome testing and salivary analysis, the SAMA clinical team identifies risk factors early and treats them at their source, reflecting a philosophy where oral health and long-term wellness are inseparable.
Award-winning dentist Dr. Jaskaren Randhawa, DMD, MPH, recognized among the 40 Under 40 Best Dentists in the U.S., brings over 12 years of experience and an integrative approach to every aspect of care at SAMA. Her path began not in dentistry but in HIV research, where she first discovered the profound connection between the mouth and the body—a philosophy that continues to shape her work today. Grounded in precise diagnostics and a deep commitment to whole-patient care, Dr. Randhawa treats every case not as an isolated concern but as a window into a patient’s broader health.
Patients requiring advanced periodontal or surgical care also benefit from the expertise of our board-certified periodontist, Dr. Pierluigi Balice, who practices on-site, ensuring seamless, comprehensive care without the need to seek treatment elsewhere.
Dr. Pierluigi Balice is a board-certified periodontist and dental implant surgeon whose credentials reflect a career built on rigorous training and academic distinction. He earned his Doctor of Dental Surgery degree summa cum laude from the University of Bari, Italy, before completing a three-year specialty program in periodontics at the University of Connecticut School of Dental Medicine, where he also earned a Master of Dental Science degree.
Dr. Balice also teaches at Harvard School of Dental Medicine, in addition to his prior role as a full-time clinical professor in the Department of Periodontics at the University of Missouri–Kansas City School of Dentistry, and continues to contribute to dental education as a visiting lecturer at New York University College of Dentistry. Dual-licensed in both the United States and Europe, he remains actively engaged in global professional organizations advancing the fields of periodontics and implant dentistry and is fluent in English, Italian, and Spanish.
Even advanced periodontal care is delivered within an environment designed for genuine comfort. Patients at SAMA are welcomed with amenities that include wireless noise-canceling headphones, massage chairs, and an on-site infrared sauna—thoughtful touches that help ease anxiety and transform a routine visit into a restorative one. At SAMA, caring for your health should never come at the expense of how you feel while receiving it.
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Start Your Periodontal Treatment in NYC

At SAMA, periodontal treatment is approached as part of whole-body health, not as an isolated concern to be managed only after symptoms appear. From comprehensive gum evaluations and oral microbiome testing to advanced laser therapy and on-site surgical care with board-certified periodontist Dr. Pierluigi Balice, every stage of treatment is guided by precision diagnostics and delivered under one roof, sparing patients the fragmentation of outside referrals.

Led by Dr. Jaskaren Randhawa and grounded in an integrative philosophy that links oral health to cardiovascular risk, diabetes, and systemic inflammation, SAMA offers periodontal care that is both scientifically rigorous and genuinely restorative. If you’re ready to protect your gum health, your natural teeth, and your long-term wellness, call (212) 575-7740 or reach out online to schedule your periodontal consultation in the Flatiron District.

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Sama Oral Health Dr Jaskaren

Meet Dr. Jaskaren Randhawa

An esteemed dentist, educator, and entrepreneur based in New York City, Dr. Jaskaren Randhawa is redefining the future of oral health through integrative dental care and holistic wellness. Her vision is to create a practice and wellness center that not only supports oral health, but also enhances longevity and overall quality of life for her patients.
Dr. Randhawa earned her Doctorate of Dental Medicine from Tufts University School of Dental Medicine, followed by advanced training at Columbia Medical Center/NewYork-Presbyterian Hospital and a Master’s in Public Health from the Columbia University Mailman School of Public Health. She was also awarded a prestigious oral health fellowship sponsored by the U.S. Department of Health.
Recognized as one of the Top 40 Dentists Under 40 in the United States and serving as a 2025 Cosmopolitan Clean Beauty Awards Judge, Dr. Randhawa pioneers a paradigm shift in dentistry by emphasizing the critical link between oral health and whole-body wellness. Her expertise bridges cosmetic and restorative dentistry with longevity-focused, integrative care.

Beyond her clinical work, Dr. Randhawa is a thought leader and advocate in organized dentistry. She serves on the executive board of her local and state dental societies and is an active member of the Academy of General Dentistry, International College of Dentists, American Academy of Cosmetic Dentistry, American Academy of Dental Sleep Medicine, and the American Academy of Facial Aesthetics.

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Periodontal Treatment FAQs

Understanding Gum Disease

Is gum disease reversible?
The answer depends on the stage. Gingivitis, the earliest form of gum disease, marked by inflammation and mild bleeding, is entirely reversible with proper treatment and diligent care. Once the disease progresses to periodontitis, however, some degree of damage to the bone and supporting tissue becomes permanent. That said, periodontitis is highly manageable: with early intervention and precise, ongoing care, its progression can be halted, and in many cases, meaningful regeneration of lost tissue and bone can be achieved. This is precisely why early diagnosis, through comprehensive evaluation and microbiome testing, is so central to our approach at SAMA.
Common early symptoms include red, swollen, or tender gums, bleeding when brushing or flossing, persistent bad breath, and gum sensitivity. Because gum disease can progress without significant pain, routine dental exams are important for early detection.
Yes. Gum disease often develops gradually and may not cause noticeable discomfort in its early stages. That’s why regular dental checkups and periodontal evaluations are essential for identifying problems before they become more serious.
Gum disease develops when plaque and harmful bacteria accumulate along and beneath the gumline. Factors such as poor oral hygiene, smoking, diabetes, genetics, certain medications, and chronic dry mouth can all increase your risk.
What does periodontal treatment involve?

Periodontal treatment at SAMA begins with a precise diagnostic process, a comprehensive gum evaluation that includes periodontal pocket depth measurements, advanced digital imaging to assess bone levels, and oral microbiome and salivary testing to identify the specific bacteria driving disease. From there, treatment is tailored to the individual: Guided Biofilm Therapy and scaling and root planing for earlier stages; laser periodontal therapy for more advanced presentations; and, when necessary, on-site surgical procedures performed by our board-certified periodontist. Every plan is designed not only to treat the immediate condition but also to protect the long-term health of the gums, teeth, and supporting bone.

Where traditional deep cleaning relies solely on mechanical instrumentation to remove plaque and calculus, laser periodontal therapy adds greater precision and biological benefits. Using the advanced Fotona laser, we can target harmful bacteria and diseased tissue with remarkable accuracy while minimizing trauma to healthy structures, supporting the body’s natural healing response rather than simply intervening on its behalf. The result is a more comfortable experience with reduced bleeding, faster recovery, and, in more advanced cases, the potential for true periodontal bone regeneration with Fotona TwinLight Perio—an outcome traditional deep cleaning alone cannot achieve.
Scaling and root planing is a deep cleaning procedure that removes plaque, tartar, and bacteria from beneath the gums while smoothing the tooth roots. This helps the gums heal, reduces inflammation, and encourages healthy reattachment to the teeth.
Dr. Randhawa performs a comprehensive periodontal evaluation that may include measuring gum pockets, reviewing digital imaging, assessing bone support, and evaluating your oral microbiome. Your treatment plan is customized based on the stage of gum disease and your overall oral health.
How does gum disease affect my overall health?
Gum disease is now understood to be far more than a localized oral condition; it is one of the body’s most significant sources of chronic inflammation, with a growing body of research linking it to serious systemic consequences. Periodontal disease has been associated with elevated cardiovascular and stroke risk, poorly controlled diabetes, adverse pregnancy outcomes such as low birth weight, autoimmune conditions, and a markedly increased risk of Alzheimer’s disease. At SAMA, this understanding shapes every aspect of periodontal care: treating the gums is never separate from protecting the rest of the body.
While periodontal treatment is not a cure for medical conditions, reducing oral inflammation and controlling harmful bacteria may contribute to better overall health and support the management of certain chronic diseases.
Your mouth is closely connected to the rest of your body. Chronic oral inflammation can influence overall health, which is why our approach focuses on identifying the underlying causes of gum disease and supporting both your oral and systemic wellness.
Yes. Diabetes can make gum disease more difficult to control, while untreated gum disease may make blood sugar management more challenging. Managing both conditions together is important for long-term health.
Is periodontal treatment painful?
Most patients tolerate periodontal treatment very well. We use local anesthesia when needed to keep you comfortable, and many patients experience only mild soreness for a short time after treatment.
Recovery depends on the type of treatment performed. Many patients return to normal activities the same day after a deep cleaning or laser therapy, although mild tenderness or sensitivity may occur for a few days.
Yes. Once you’ve been treated for periodontitis, routine periodontal maintenance appointments help control bacteria, monitor your gum health, and reduce the risk of disease progression. These visits are typically recommended more frequently than standard dental cleanings.
Yes. Periodontal disease is a chronic condition that requires ongoing management. Maintaining excellent home care and attending regular periodontal maintenance visits are the best ways to keep the disease under control.
Can gum disease cause tooth loss?
Yes. Advanced periodontal disease is one of the leading causes of tooth loss in adults. Treating gum disease early helps preserve the bone and supporting structures that keep your teeth healthy and stable.
While healthy gums can heal and inflammation can resolve, significantly receded gum tissue generally does not grow back on its own. Depending on your needs, additional periodontal procedures may be recommended to restore gum health and appearance.
The best prevention includes brushing twice a day, flossing daily, keeping up with professional cleanings and periodontal maintenance, and following any personalized recommendations from Dr. Randhawa. Good home care combined with regular dental visits is essential for long-term success.
Many dental insurance plans cover medically necessary periodontal care. Our team will review your treatment plan, explain your available benefits, and discuss any out-of-pocket costs before treatment begins.

Press

SAMA Oral Health has been featured in leading lifestyle and beauty publications. Explore recent articles highlighting our aesthetic treatments, smile transformations, and beauty-focused approach to oral health.

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What our clients say

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When was the last time you heard someone brag about their dentist? Well buckle up – I have a lot to say.

SAMA Oral Health is truly the best dental experience I’ve ever had. Their beautiful & peaceful NYC studio (honestly, a spa) is just the beginning.

As someone passionate about wellness, I love how Dr. Jaskaren and her team put oral wellness first, while using the most advanced tools (like the GBT cleaning machine, which left my teeth feeling insanely clean).

Everyone from Dani at the front to Brianna (the hygienist — ask her about her most recent travels!), to Kayla and Merssy, is kind, professional, and makes you feel totally at ease. It’s rare to find a dental office that feels this chic, relaxing, and high-tech at the same time. I highly recommend SAMA!

–  Rachel W.

Truly appreciate Dr. Randhawa and the entire SAMA health team for quickly getting me for a dental emergency. Everyone there was incredibly concerned for me with my accident, made sure I was taken care, and helped with recommendations for pain gel along with mouth wash to ensure I am as comfortable as possible during the healing the process. I would highly recommend the office as the staff is phenomenal and truly cares for patient wellbeing!

– Erin M.

SAMA is the nicest dentist office I have ever been to. It is clean, beautiful, and has very high tech equipment to optimize your dental care. I’ve been going to Dr. Randhawa for years and my oral health has never been better. Her, the hygienists, and rest of the staff are sweet, caring, and make the whole experience as painful as seamless as possible. I’m very grateful for the time, work, and support that the whole team has given me throughout the years.

– Jessica I.

Literally the best dental experience I’ve ever had. Dr. Randhawa and her team was so knowledgeable and made me feel right at ease. Also, the office is STUNNING!

– Sophia V.

One of the things I appreciate most about SAMA is how they prioritize the entire patient experience, not just dental care. From the moment you walk in, you can tell they’ve thought through every detail to make the experience as comfortable and stress-free as possible. The office is beautiful and calming, the technology is top-tier, and the team goes out of their way to make you feel cared for. It’s clear that their goal isn’t just great dentistry, but a truly positive and personalized experience. I can’t recommend them enough!

– Riley R.

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  • Mon - Fri: 10:00 AM – 6:00 PM
  • Sat - Sun: Closed
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