Marielaina Perrone DDS's Posts (149)

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Orthodontic movement does not need to be so daunting. There are amazing advances in tooth movement, from simple to more complex, that can change the way you practice dentistry.

Orthodontic movement for the general dentist - Marielaina Perrone, DDS - interceptive orthodontics

Think about all the times you have had a patient come in for a cosmetic consultation … a patient who needs movement but doesn't want braces? The bonding or veneer work may not even be possible to achieve what the patient is looking for due to extreme malposition. We have been trained to do no harm, and that can make what the patient wants to achieve, without the aid of repositioning, difficult if not impossible.

Minor tooth movement

The Hawley appliance

When cosmetics warrant movement of incisors only, minor movement can be done quickly and easily with a Hawley appliance. The fabrication of the appliance can be done by your local orthodontic lab. The appliance can help move a labial or lingually shifted tooth into proper position, or turn rotated teeth back into place.

All you need to start, after radiographs and photos, is a double set of alginates with bite registration — one set for the lab and one set to keep as a records start model. The design of the appliance can also be done by your lab. If you can properly communicate the desired teeth and movements required, a good lab can create an appliance suited to those movements. Talk to your lab about which areas to tighten, screw down, or activate, and the lab can explain how to effectively get the movement you desire.


Orthodontic movement for the general dentist - Marielaina Perrone, DDS - Hawley appliance from Great Lakes Orthodontics Ltd. showing individual tooth movement with finger springs
Hawley appliance from Great Lakes Orthodontics Ltd. showing individual tooth movement with finger springs

Orthodontic movement for the general dentist - Marielaina Perrone, DDS - image from Great Lakes Orthodontics Ltd. showing expansion plate to move multiple teeth
Image from Great Lakes Orthodontics Ltd. showing expansion plate to move multiple teeth

Major tooth movement

Short-term braces

This procedure is an excellent therapy to utilize when the patient requires rapid tooth movement for cosmetics and does not wish to change molar occlusion. The treatment allows patients to have the effectiveness of braces without feeling like they have braces.

RELATED | Orthodontic tooth movement with clear aligners: seeing results with the invisible

Four- to eight-month rapid cosmetic orthodontic treatment combines the best of traditional orthodontics with modern esthetically appealing treatments. As the names suggest, Six Month Smiles® can transform your teeth in an average of about six months. The treatments use traditional wires and brackets that are tooth-colored for a less noticeable look. The patient is seen once per month for adjustments, photos, and wire changes.

The training required is a two-day training seminar. Training includes hardware placement, case selection, debanding and retention, proper photography and documentation, and use of 24-hour customer support. There are also advanced training classes available. You are guided through the process with the ability to ask for advice on your case, and tips and tricks from highly trained staff and practitioners.

Orthodontic movement for the general dentist - Marielaina Perrone, DDS - Six Month Smiles before
Six Month Smiles — Before

Orthodontic movement for the general dentist - Marielaina Perrone, DDS - Six Month Smiles during
Six Month Smiles — During

Orthodontic movement for the general dentist - Marielaina Perrone, DDS - Six Month Smiles after
Six Month Smiles — After


Clear aligner therapy

A cosmetic alternative to traditional braces, the aligners are removable and can provide major movement of the full arch, including molars. Aligner orthodontic treatment realigns the teeth through a series of clear, custom-made retainers. Each retainer, or aligner, is created using impressions taken of your teeth for a perfect fit. Aligners can be removed while eating and brushing for added comfort and ease of practicing proper oral hygiene. The duration of treatment depends on individual needs, but in general, may take between 12 and 48 months.

Aligner therapy, specifically Invisalign, requires a one-day training course for the dentist and additional staff training. You will learn proper impression technique, case selection, retention, use of software, aspects of in-office aligner therapy procedures, and how to access customer support.

This is a procedure that can be learned in one day! There are additional advanced training technique courses, but you can start treating patients immediately. There is excellent support to help you along with case planning and treatment to guide you into your new orthodontic transition. There are also newer treatments for teens and rapid movement aligner therapy.

The benefits of teeth straightening treatments

Teeth straightening treatments can transform how you perform dentistry. Once you are able to align teeth in a minor or even major fashion, the possibilities of great cosmetic dentistry are endless. Not only will you be able to better provide your patients with the best care possible, you can help your patients to improve:

  • Confidence — Many patients feel an increased confidence after teeth straightening treatment.
  • Esthetics — Teeth straightening treatments lead to improved dental esthetics.
  • Dental function — Misaligned teeth can make eating difficult and even painful. Teeth straightening treatments can improve dental function by improving dental alignment.
  • Dental hygiene — Crooked teeth can make properly cleaning teeth difficult. Teeth straightening treatments corrects overlapping teeth, allowing for easier cleaning.

Orthodontic movement for the general dentist - Marielaina Perrone, DDS - orthodontics

General dentists have a world of opportunity open to them to improve their practices, change their approach to cosmetic dentistry and full-mouth reconstruction, and increase patient acceptance of further cosmetic treatment. You will find that once patients have had their teeth aligned, they will want more treatment. Patients will then ask you for more information about whitening, veneers, changing out older restorations to newer, more cosmetic ones, and they are more apt to tell others about the beautiful work they had done.

Orthodontic movement for the general dentist - Marielaina Perrone, DDS - pediatric dentist

The key to utilizing the orthodontic treatments is to make a commitment to it. Take a training course, pump up your staff, and your patients will feel the excitement in the office for the great new treatments you are providing. There is never a better day to start achieving your goals than today. Remember, there is no need to be afraid of something new. There is excellent customer support available with most treatments. Your training will help you choose easier cases to start with, and your own level of interest and expertise will help you continue on your journey.

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Crooked teeth (also called malocclusion) can affect almost 75% of all American adults. Malocclusion can significantly affect oral health over the course of a lifetime, leaving you with increased chances of developing periodontal disease and increased wear and trauma to teeth.

Types Of Malocclusion

-Crossbite – A crossbite is when the lower teeth overlap or come out even with the upper teeth. In a normal occlusion the upper teeth overlap the lower ones but when a crossbite (can occur on either side or both) is present, the opposite is true. This can lead to premature wear, increased risk of chipping or fracturing your teeth, development of abfraction (small notch in tooth at the gumline), and periodontal disease.

-Excessive Overjet – This occurs when the upper front teeth are too far out in front of the lower teeth. This can lead to increased trauma as well as an increase to chipping or fracturing of teeth (especially the front ones).

-Edge To Edge Bite – This occurs when the teeth touch one another edge to edge (or cusp to cusp). The teeth do not fit together propely allowing the biting surfaces to touch. This will lead to increased risk of chipping and fracturing, Temperomandibular Joint (TMJ) pain, as well as short, worn down teeth.

-Open Bite – This is a common occurence from thumb sucking or can be genetic. It is when there is a space between the front upper teeth and the front lower teeth upon closing. Not only is this an unesthetic option but it can lead to abfraction, is difficult to bite and tear food ,and causes excessive, premature wear of the back teeth.

-Over Bite- This is when the upper front teeth completely cover the lower front teeth. Often, the lower teeth hit into the backs of the upper teeth and sometimes into the roof of the mouth.

-Under Bite- This occurs when the lower jaw has grown more quickly than the upper jaw. The lower front teeth and jaw have grown in front of the upper teeth.

-Tooth Size Arch Length Discrepency- When your teeth are too large for your jaw space and cause extreme crowding or when your teeth are too small for your mouth. Crowding can lead to decay, fracture, and periodontal disease. Small teeth are generally a major cosmetic issue.

The General Health Danger

Gum disease is commonly found along with malocclusion, due to difficulty in maintaining good oral hygiene when teeth are not in proper position.

Periodontal disease has been linked to many systemic diseases through various studies. Some of these diseases include heart disease, diabetes, and alzheimer’s. Periodontal disease generally takes years of neglect to develop. There are various stages of periodontal disease progression, they include:

-Gingivitis – The earliest stage. The only stage that is reversible with proper dental care. This stage is characterized by swollen, red gum tissues, bleeding upon brushing, as well as bad breath (halitosis). If treated before it progresses, it can be reversed back to a normal, healthy, gingival state.

-Periodontitis – This is the stage that develops following ginigvitis. It is not reversible but can be controlled. Damage to teeth, bone, and gums can be limited with proper dental care. During this stage, the supporting tissues around the teeth may break down leading to gum recession and bone loss around the teeth.

-Advanced Periodontitis – This stage increases the bone loss and gum recession leading to loosening of teeth with the real possibility of losing one or more teeth.

How Do Crooked Teeth Affect Our Mouths?

When teeth are crowded and not aligned properly, the plaque and bacteria that forms on our teeth during everyday food consumption  becomes much more difficult to remove. This makes it difficult to  maintain a good state of health. Many times, flossing and brushing areas of overcrowded teeth will become very difficult. These areas are generally called a “plaque trap” for their ability to constantly trap food and debris.  As mentioned earlier, without proper care, plaque traps can lead to bone loss, gum recession, and even tooth loss.

Another cause for concern is wear and trauma to the teeth. Poorly aligned teeth can create unnatural stresses on the teeth and the jaws. Teeth subjected to excessive pressures can develop chipping, fracturing, and abfractions. Premature wear can also lead to lost teeth, loose teeth and even root canal therapy.

Finally, crowded teeth affect your systemic health by allowing bacteria to grow and flourish unabated in these crowded areas. Over time, this can lead to devastating life threatening effects like heart disease and stroke.

What Can Be Done To Combat Crooked Teeth?

Fortunately, in many cases the simple solution is increased visits to the dentist for professional cleanings as well as diligent  home care.  When there is undue stress placed on the teeth that can cause trauma and wear over time, Orthodontics is the answer in most cases. Orthodontics is a type of dentistry dealing with crowded or misaligned teeth. Proper orthodontic treatment can, in many cases, restore your smile and make it easier to maintain it.

Orthodontics In Henderson NV Conclusion

Orthodontics is not just for cosmetic reasons. We are not all born with perfectly straight teeth and sometimes we need a little help to get there. The bottom line is to have beautiful teeth and gums that make you feel confident and healthy. Your smile should  last you a lifetime!

© 2013, . All rights reserved. Cosmetic Dentist In Henderson NV

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Obstructive sleep apnea (OSA) occurs when the tongue, tonsils, or other throat tissue blocks the airway, stopping breathing.Sleep apnea is often misunderstood regarding its risks and possible treatments. Below we will sort out some of the common myths and give you the facts to better understand this misunderstood affliction.

Myth – Sleep Apnea Is Just Snoring.

This is probably the most common myth regarding sleep apnea. In many individuals sleep apnea can be the cause of snoring while sleeping. The real issue with sleep apnea is that it actually causes a person to stop breathing while sleeping up to 400-500 times a night for a duration of 10-20 seconds each time.

Myth – I Snore So I Must Have Sleep Apnea.

In the United States alone anywhere between 25-50% of the population snores at one time or another. Snoring can be caused by a cold, being overweight, or even alcohol use.

Myth – Sleep Apnea Is Not Dangerous.

If left untreated sleep apnea can be life threatening. It affects a person’s sleep as well as their daily activites. Not being fully rested can lead to accidents and injuries. It has also been shown to be linked to heart attacks, stroke, high blood pressure, and decreased sex drive.

Myth – Sleep Apnea Is Only For Old People.

It is true that sleep apnea is more common in people over age 40 but it can develop at any age. It is estimated that about 22 million Americans suffer from sleep apnea. It can also affect children. The groups most at risk include people over 40 years of age, men, African Americans, Latino’s, and those with a family history.

Myth – Sleeping Pills And Alcohol Will Help You Sleep.

Many try to solve their sleep apnea problem using medications or alcohol. These methods can actually make things worse because the muscles will relax further making it far easier for the airway to become blocked.

Sleep Apnea Conclusion

There are various treatments for sleep apnea including use of  TAP III dental appliance, a CPAP machine (machine that blows a stream of air into the person’s airway in order to keep it open while sleeping), and weight loss programs. The treatment depends on the severity of the sleep apnea which can be assessed during a sleep study. Consult your dentist or physician for the best course of action if you suspect you have sleep apnea.

© 2014, Marielaina Perrone DDS. All rights reserved. Sleep Apnea Causes

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It is important to remember first impressions last and one of the first things people notice upon meeting is a smile. You should feel good about your smile, and smile often. When we think of a perfect smile we have to remember that we all have our own idea of what that may be. It may be whiter teeth, straighter teeth, or even just healthier teeth. Each individual can look in the mirror and find what they want changed about their smile.

How Can Cosmetic Dentistry In Henderson NV Help?

A well trained experienced cosmetic dentist can help remove or diminish those flaws using various procedures ranging from porcelain veneers to teeth whitening. Your cosmetic dentist can change the shape of your teeth, alter your gum tissue (for those with a gummy smile), or even fix chips on your teeth. Luckily, for the consumer not all of these cosmetic dentistryprocedures are very expensive. While a complete smile makeover would be cost prohibitive for many, there are still many changes your cosmetic dentist can provide that will not break the bank. And while many may desire a complete smile makeover, it is not recommended for everyone. Cosmetic dentistry is very much an art, focusing on each individuals existing smile and needs.

Cost Effective Cosmetic Dentistry In Henderson NV Procedures

-Teeth Whitening. This has become a billion dollar cosmetic dentistry business with products ranging from in office whitening to at home whitening with customized dental trays, whitening strips,  paint on gels and even whitening toothpastes. The differences between the types has to do with speed and depth of whitening. Teeth whitening in Henderson NV can have a dramatic effect on almost anyone’s smile for a relatively low cost and minimal time involved.

-Gum Contouring. For those with a gummy smile, this can be a real confidence booster. This cosmetic dentistry procedure is generally done in one visit and can give incredible results for many with an overly gummy smile. Gum contouring simply removes the excess gum tissue and reshapes the gums to ensure you obtain the desired look. for some, this may require reduction of bone also, in this case it is recommended that you see a periodontal surgeon .

-Dental Bonding. This cosmetic dentistry procedure involves using tooth colored materials that can be bonded to teeth to change shape, color, and length. This same material can also be used a full face veneer (called a composite veneer). Dental bonding can generally be completed in one visit.

-Snap On Smile. This is a way to improve your smile without any permanent dental work. All that is required is having your dentist take impressions of your teeth, choosing a color, and the dentist sending them to a lab to have your snap on smile fabricated. Once the snap on smile is made, you simply clean your teeth, apply a fluoride gel inside, and slip it on over your teeth. You can talk, eat and smile with it all day long.

-Porcelain Veneers. While the initial cost is higher than the other options, this may be cost effective if extensive changes need to be made. Porcelain veneers can change shape, color, length, and even correct minor misalignments of teeth. This will last a long time, will not stain, and is a very strong, natural looking material.

-Tooth Recontouring. Changing the shape or alignment of teeth in a minor way can have a dramatic effect on a persons smile. Tooth recontouring involves removing small amounts of tooth structure from edges of teeth to correct a tooth that might be misshapen or slightly misaligned.

-Minor Tooth Movement. Sometimes the only thing making you uncomfortable to smile may be a small misalignment of one or a few teeth. A simple orthodontic appliance may be able to move your teeth into a more favorable position in a few months.

Cosmetic Dentistry Conclusion

While cosmetic dentistry may not be for everyone, it is good to know the options available to you. Having a perfect smile is not a goal of everyone, but if you are looking to improve your smile, seek out the help of an experienced, well trained cosmetic dentist for a full evaluation. This cosmetic dentistry evaluation can give you valuable information to make an informed decision about possible treatment options available to you. Smile with confidence, it not only makes you feel good, it makes others smile too.

© 2014, Marielaina Perrone DDS. All rights reserved. Cosmetic Dentist In Henderson NV

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BPA? What is it? BPA is short for Bisphenol ABPA is an organic compound  that is used throughout the manufacture of many consumer plastic products, and has been found in some dental composites and sealants.

BPA has been shown to have hormone-like (estrogen) properties that raise concern about its suitability in consumer products and food containers. Some laboratory testing has suggested that BPA may effect reproduction and development in animals by mimicking the effects of the female hormone estrogen. This testing is raising concerns about its safety. Recent scientific research has found links between BPA and serious health problems, from heart disease, diabetes and liver abnormalities in adults to developmental problems in the brains and hormonal systems of children.

BPA and Dentistry

There are three ways BPA can become a part of dental materials:

1. As a direct ingredient in dental composites or dental sealants.

2. As a by-product of degrading dental composites or dental sealants in saliva. Composite resins are formulated from a mixture of monomers that are commonly based on bisphenol A glycidyl methacrylate (bis-GMA). Some composite resins may contain other monomers, in addition to bis-GMA, that are added to modify the properties of the resin. An example is bisphenol A dimethacrylate (bis-DMA). Bis-GMA and Bis-DMA-containing materials can release  BPA because both  bis-DMA and Bis-GMA are subject to degradation by salivary enzymes. Bis-DMA releases more BPA than Bis-GMA.

3. As a trace material during manufacture of dental materials. BPA may be used in the production of other ingredients found in some dental composites and sealants. Bis-DMA and bis-GMA are both produced using BPA as a starting ingredient, so residual trace amounts of BPA may be present in the final product.

There are many products utilized for “white” fillings. You can ask if your dentist is BPA free. The products utilized should not contain BPA, and even better if there is also no Bis DMA.

What Can Be Done To Limit Dental Exposure To BPA?

The big concern first was the use of traditional dental materials like dental amalgam. Amalgam contains mercury and there has been vigorous debate regarding its health effects. While all dental amalgam fillings contain mercury, not all dental composites and dental sealants contain Bisphenol-A (BPA). It is important to choose a dentist who carefully selects dental composites and dental sealants that are BPA free.

What if you already have dental composites or dental sealants? Should you be concerned?

It is important to remember the amount of BPA released in dental composites and dental sealants is very small. Although, the effect of BPA accumulation may be small it is important to note that it is a cumulative effect. Over the course of a lifetime the BPA will build up like most environmental toxins. Still, if the dental work in question is not causing any immediate health problems that you experience, removing the dental composite can do more harm than good. The trauma each tooth would undergo through the removal process may do more substantial harm to the teeth.

Common Items Containing BPA

-Baby Bottle

-Water Bottles

-Sports Equipment

-Medical and Dental Devices

-Dental composite filling

-Dental Sealants

-Cd’s and DVD’s

-Lining of Water Pipes

-Lining of Soda cans

How To Reduce Overall Exposure To BPA?

Choosing products that are BPA free  is important. Make good choices in everyday products as well as dental materials. Below are some tips to reduce overall BPA exposure for you and your loved ones.

-Choose Cardboard Or Glass Containers Over Cans. Most cans used in food preparation today are lined with BPA. The food in these cans are in contact with this lining allowing the food to leach BPA from the lining. Highly acidic foods (like tomato sauce) tend to leach more BPA than lower acidic foods. Choosing cardboard or glass will be safer in the long run.

-Avoid Microwaving Plastic Food Containers. The packaging in many microwaveable foods can break down under the high temperatures of the microwave. This will release BPA into your food from the lining of the container. It is not required to report whether a container contains BPA but plastic containers that do are usually marked with a #7 recycling code on the bottom of the package.

-Choose BPA Free Baby Bottles. The general rule for plastics is hard and clear contains BPA while soft or cloudy does not. Luckily, most major manufacturers now tout BPA free bottles for our children.

-Use Powdered Infant Formula. Recent research has shown that liquid formulas contain more BPA than the powdered version.

Bisphenol-A (BPA) Conclusion

Research continues to mount regarding the health hazards of Bisphenol-A (BPA) so it would be wise to protect your family and be educated. While we can probably never live a BPA free life we can limit exposure by making smart choices in dental care as well as our lifestyle. Manufacturers are making their own choices, and moving towards many BPA free products. Hopefully, future research will continue with the evolution of even better products to keep us all healthier.

© 2014, Marielaina Perrone DDS. All rights reserved. BPA Free

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Are You An Anxious Dental Patient?

Dental anxiety affects a large portion of the population. While many have such anxiety, some are so fearful that they can not even get themselves through the dentist’s front door.Statistics show that  15-20% of all Americans avoid the dentist due to fears or anxiety about the dentist. The reasons for anxiety are different for everyone. These can include fear about feeling rushed by the dentist, possible pain, or even just the smells and sounds of the dental office. Dental anxiety and dental phobia, when stopping someone from receiving dental care,  lead to unnecessary oral and general health problems.

Tips To Calm Dental Anxiety

-Finding The Right Dentist And Dental Team. That’s right, it is not just about the dentist. The dental team is just as important in maintaining a calm, soothing atmosphere. A well trained dentist and team can make you feel at ease throughout your dental treatment and actually make it an enjoyable experience. Ask friends or relatives for recommendations. A good review about a dentist from someone you trust can significantly reduce anxiety. Also, in the internet age read online reviews. These can let you get a better understanding of the dentist and how they treat their patients. Last, make an appointment for a consultation so that you can meet the dentist and staff to see if they make you feel comfortable enough to schedule an exam and cleaning.

-Communication. One of the most important factors in overcoming dental anxiety is a good, open line of communication between dentist and patient. You must always feel comfortable expressing your feelings, fears, and concerns before, during, and after treatment is rendered. You must also feel that the dental team is listening to you and making adjustments as needed. Communication should never be compromised for any patient but it is even more important for a patient with dental anxiety. This will allow you to feel a sense of comfort that you may have never felt in a dental office before.

-Feeling Of Being In Control. This comes from the confidence to stop or start treatment whenever you need to. You should always feel comfortable controlling your treatment.  Making treatment decisions based upon options, how long your appointments should be, and how often you are comfortable coming in for treatment. Another aspect to being in control is to give yourself the power of knowledge about your dental care. This will give you the ability to understand the steps of treatment, and why it is important for you to follow through. Being in control will allow you to properly express your feelings about how much treatment you can handle.

-Own Your Emotions. For many who have neglected their dental care due to fear there can be a sense of embarrassment. Express your feelings and allow your dentist to understand your feelings so they can be addressed properly. Panic, tears, needing your hand held, etc. are coping mechanisms to fear. It is ok to get emotional at the dental office. You can and should be able to express your emotions without embarrassment.

-Utilize Relaxation Techniques.  These can include:

1. Proper Breathing. Focus on breathing regularly and slowly during dental work. When people are feeling anxiety or nervousness we tend to hold our breaths, or breathe in short rapid breaths. This decreases oxygen levels in the body, or hyperventilation, further increasing our feelings of panic.

2. Wear Headphones. For many, the sound of the dental office is a trigger for dental anxiety. Using an ipod or mp3 player with headphones can drown out the noises and relax you.

3. Avoid Caffeine. Caffeine can raise your heart rate and blood pressure, This can trigger panic attacks, make you feel dizzy, lightheaded, or give you the feeling of a fast beating heart. Caffeine before a dental appointment should be avoided.

4. Choose Pre Dental Meals Carefully. Eating high-protein foods have the ability to produce a calming effect.

5. Timing Is Everything. The time of day for your dental appointment can be critical. Try to choose a time for your dental visit when you’ re least  likely to be rushed or feel under pressure.

-Repetition. The simple process of repeat appointments, will make you feel more comfortable and at ease. As you learn what to expect, and realize that you are in control of the appointment, you will be able to manage more time in the chair. Remember not to wait too long between appointments or to reschedule unless an emergency arises. Merely coming to the office and not having treatment that day is better than canceling.

-Predictable Pain Control. Every individual is slightly different. What may work for one may not work for another. Let your dentist know if you have a history of difficulty getting numb. Be sure to let your dentist know whether or not you still feel sensitivity, or lack of complete numbness. When you can trust that your comfort will be a priority, you will find that your anxiety rapidly diminishes.

Dental Anxiety Conclusion

Overcoming dental anxiety can be a trying experience. It is important to find the right dentist and dental team so that you can move forward and free yourself from dental anxiety once and for all. Know what you are looking for in a dentist, and be prepared with questions for your meeting. Remember, it is ok to shop around, you will know when you have found the right dentist for you!

© 2014, Marielaina Perrone DDS. All rights reserved. Dental Anxiety

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Cosmetic Dentistry in Henderson NV is not just about the outward appearance of a smile. There are many aspects that go into creating a beautiful and healthy smile. There are also many benefits to having a great smile that many of us do not really think about. Below are some of the effects cosmetic dentistry can have on your overall well being.

Cosmetic Dentistry More Than Meets The Eye

It may come as a surprise to some patients, but cosmetic dentistry procedures can actually help patients realize improvements in overall health. Specifically, patients who elect to have certain cosmetic procedures can significantly improve physical, mental, and emotional well being.

-Improved Physical Health. For patients who suffer with Temperomandibular Joint (TMJ) pain, bite alignment issues, and other craniofacial conditions, cosmetic dentistry can help to reshape affected areas in a way that is optimal for physical health. Examples include:

*Stronger teeth. Dental Bonding, dental implants, and porcelain crowns can be used to restore chipped, cracked, damaged, or missing teeth. The goal of any good cosmetic dentist is to preserve as much natural tooth enamel as possible while still developing a smile any patient can be proud of. When cosmetic dentistry treatment is complete, patients will experience a stronger, fuller, and more properly aligned smile that stays healthier, longer.

*Healthier gum tissues. A smile free of periodontal disease is important to maintaining optimal overall health. Recent research has linked periodontal disease to diabetes, heart disease, and stroke. Cosmetic dentistry should never be performed on a patient with progressive periodontal disease or poor at home maintenance. Without a proper foundation, any cosmetic dental care will be doomed to fail over time.

*Realignment of the jaw and/or TMJ, reducing joint pain and preventing teeth from becoming misaligned over time.

*Natural realignment of the airway and oral soft tissues, making it easier for the body to breath at night. Such procedures have been shown reduce snoring, curb sleep apnea, and improve overall quality of sleep.

-Increased Self Confidence. Cosmetic dentistry can improve how we perceive ourselves. An increase in self confidence and self esteem will give ourselves a greater self image. Research has shown that an increase in self esteem is vital to physical health.

-Increased Smiling. With a new-found smile, you will find yourself smiling more. This will make you more attractive to others whether in love or business. Research has also indicated that those who smile frequently often live longer and lead a higher quality of life.

Cosmetic Dentistry Procedures To Change Your Smile

-Teeth Whitening. This has become a billion dollar cosmetic dentistry business with products ranging from in office whitening to at home whitening with customized dental trays, whitening strips,  paint on gels and even whitening toothpastes. The differences between the types has to do with speed and depth of whitening. Teeth whitening in Henderson NV can have a dramatic effect on almost anyone’s smile for a relatively low cost and minimal time involved.

-Dental Implants. Missing teeth can make you feel uncomfortable with smiling, socially awkward, or may make you look older than you are. Replacing lost teeth can be done with very natural results. Dental implants are a great way to achieve cosmetics, strength, and durability.  Dental implants can be used to replace a single tooth or multiple teeth. The best part is, once restored, the dental implants in Henderson NV should last a lifetime.

-Dental Bonding. This cosmetic dentistry procedure involves using tooth colored materials that can be bonded to teeth to change shape, color, and length. This same material can also be used to fully cover the front surface, (called a composite veneer). Dental bonding can generally be completed in one visit.

-Porcelain Veneers. While the initial cost is higher than the other cosmetic dentistry options, this may be cost effective if extensive changes need to be made. Porcelain veneers can change shape, color, length, and even correct minor misalignments of teeth. This will last a long time, will not stain, and is a very strong, natural looking material.

-Porcelain and Zirconia Crowns. These types of crowns are the strongest and most cosmetic options available. They are made from modern dental porcelains that range in strength and esthetics. If done properly, no one should ever be able to tell a porcelain crown from a natural tooth. Modern porcelains possesses strength, color properties, and light reflection properties that very closely mimic our natural teeth. Porcelain crowns can be used to change bite alignment issues as well as change alignment of front teeth which are more extreme such as those issues that porcelain veneers alone cannot fix. More natural tooth structure needs to be removed in preparing a porcelain crown vs a porcelain veneer.

-Snap On Smile. This is a modern, conservative way to improve your smile without any permanent dental work. All that is required is having your dentist take impressions of your teeth, choosing a color, and the dentist sending them to a lab to have your snap on smile fabricated. Once the snap on smile is made, you simply clean your teeth, apply a fluoride gel inside, and slip it on over your teeth. You can talk, eat and smile with it all day long.

-Gum Contouring. For those with a gummy smile, this can be a real confidence booster. This cosmetic dentistry procedure is generally done in one visit and can give incredible results for many with an overly gummy smile. Gum contouring simply removes the excess gum tissue and reshapes the gums to ensure you obtain the desired look. For some, this may require reduction of bone, in this case, it is recommended that you see a periodontal surgeon.

-Tooth Recontouring. Changing the shape or alignment of teeth in a minor way can have a dramatic effect on a persons smile. Tooth recontouring involves removing small amounts of tooth structure from edges of teeth to correct a tooth that might be misshapen or slightly misaligned.

-Orthodontics. Minor tooth movement can be utilized by your cosmetic dentist to bring your smile in line and allow for a better harmony between your smile and function.

Cosmetic Dentistry Conclusion

 A well trained, experienced cosmetic dentist can not only transform your smile but your entire well being. Your cosmetic dentist can improve the outward appearance of your smile but also bring it back into balance.

© 2014, Marielaina Perrone DDS. All rights reserved. Cosmetic Dentist In Henderson NV

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Can Dental Anxiety be Overcome?

Dental Anxiety - Abnormal fear or dread of visiting the dentist for preventive care or follow up treatment and extreme anxiety over dental procedures.

Let’s face it, not many people truly enjoy going to the dentist. There are plenty who do, but most do not. We know it is good for our dental and overall health, so we go for that reason. For

Dental Anxiety and Dental Phobia Marielaina Perrone DDS

Dental Anxiety Can Be Overcome!

some, an irrational fear takes over, leaving them paralyzed with fear, and without the dental care they need to enjoy their lives fully.  According to a 2009 study by the U.S. Centers for Disease Control and Prevention (CDC) almost 50% of adults skip dental visits due to dental anxiety.

Psychology of Dental Anxiety

Many dental related fears are developed when you are young and impressionable. Sometimes the dental fear is transferred from parents to their children. When a parent is highly anxious, they oftentimes elaborate on pain, needles, drilling, and tooth removal, causing the child to believe that this will happen to them also. For some, a bad dental experience can traumatize them for the future. Feeling pain, gagging, losing control, not knowing what is going on, or having unexpected procedure you were not prepared for can be very difficult to get over. Prior to modern dentistry, dentists and their instruments were given a bad reputation in real life, movies and TV shows . The instruments and techniques used to mask discomfort were less than ideal. In modern dentistry, the dentist is more in tune to patients dental anxiety and dental fears. These dental anxieties can be overcome with a concerted effort by the patient, loved ones, and dentist.

How to Overcome Dental Anxiety

Overcoming dental anxiety can take as little as one visit, or it can take months to years. It all depends on the level of anxiety or phobia a patient might have. The following are some tips to help overcome dental anxiety:

1) Find the “right” dentist. Not all dentists have the same educational training, techniques, or patience when it comes to patients with dental anxiety. Do your research, use the Internet or ask friends and loved ones for recommendations. A good dentist is one, who is able to communicate effectively with you, and put you at ease. Most patients feel better when they know whats going on and how its going to happen. Understanding what will happen in the appointment, and having a signal to stop whenever you need to, gives back control to the patient and takes the surprise out of the situation. You and your dentist will figure out what specific things elevate your dental anxiety, and find ways to work around them. Ask your dentist their policy on emergencies after hours. Many dentists do not return calls after hours while others personally answer calls after hours and even open the office if the situation is necessary.

Dental Anxiety Marielaina Perrone DDS

Overcome Dental Anxiety for the Entire Family!

2) Distraction. Oftentimes, redirecting your mind can set you at ease. Meditation can be taught to you by your dentist. Music can help if the noises of dentistry affect you, bring your ipod or mp3 player with your favorite music and listen during the treatment to distract your mind and relieve your dental anxiety. A soft “squeezy ball” can help, and give that comforting feeling of squeezing someones hand.

3) Take Breaks when Needed. This goes back to communication. Take the time out during procedures to compose yourself as needed. Have a predetermined hand signal to stop the procedure as often as needed. Some patients with dental anxiety feel claustrophobic after awhile and may need to walk around a bit, catch their breath, ask a question, etc. before finishing the dental procedure.

4) Be Open and Honest. Tell your dentist what bothers you most about the dental experience, or past problems that have increased your dental anxiety. For some, the loud pitched noises may be very difficult, for others it might be the smells of the dental office, and for others it might be a past painful experience. These issues can be addressed in order to make your experience more acceptable. In dentistry today, there are many techniques to deliver a more comfortable and comforting experience.

5) Consider Medication. For some of us with more extreme dental anxiety, a mild form of sedation may be necessary to get you through. Taking a medication such as Valium prior to your appointment can help you sleep the night before, and allow for you to actually get to your appointment. Generally, such medications relax your entire body, decreasing the sweats, heart racing, and panic attacks that might otherwise disable you. This is a wonderful way to acclimate yourself to your new dentist, and the dental experience. Over time, the dosage can be reduced as you gain confidence in your dentist and your own coping abilities.  Plenty of patients, with time, can learn the techniques necessary to have dental treatment without medication.

Dental Anxiety Conclusion

Dental anxiety can be truly crippling. What we have to remember is, that if we want good health, dental treatment is necessary.  Recent studies have shown definite links between our dental health and our general health. This means it makes our dental health doubly important for us to lead healthy, happy lives. Dental anxiety CAN be overcome and defeated with a concerted effort by dentist and patient. If you are suffering from dental anxiety, take that first step, and make an appointment to meet with a dentist well versed in treating dental anxiety and dental phobia.

 

© 2012, Marielaina Perrone DDS. All rights reserved. Las Vegas Dental Phobia

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Dental implants have changed the face of dentistry over the last 20 years. They have been nothing less than a miracle in the replacement of teeth whether it be a single tooth,

All On 4 Dental Implants Marielaina Perrone DDS

Teeth In A Day – All On 4 Dental Implants

multiple teeth, or as an anchor for a denture. As the technology matures, new advancements and techniques come into play. One of those newer techniques is calledAll On 4 Dental Implants. This technique allows for the placement of four dental implants (hence the name all on 4 dental implants), and the restoration to be placed on the same day. Patients leave the office with teeth. For this reason all on 4 dental implants are also called “new teeth in a day“.

Who Wants All On 4 Dental Implants?

The patients who choose all on four, do so for many reasons including, poor fitting existing dentures, terrible trauma causingtooth loss, decay or periodontal disease causing progressive tooth loss. The most common patients to choose all on four, are not denture wearers. They are patients who have been fighting an uphill battle for a while and know that they are losing their teeth. These individuals have been trying to hold on as long as possible because they do not want to have any time in their life without teeth, and the thought of a removable denture is not an option.

What are All On 4 Dental Implants

The All on 4 Dental Implants procedure was developed in the mid 1990′s. The all on 4 dental implants system has allowed for a variety of patients who, for various reasons, were not considered good candidates for traditional dental implants to now become candidates.

All On 4 Dental Implants Marielaina Perrone DDS

All On 4 Dental Implants for a New Smile!

The All on 4 Dental Implants procedure uses fourdental implants per arch (upper or lower).  The dental implants in the back are placed on an angle to take maximum advantage of the existing bone structure. Special dental implants were developed that could support the immediate fitting of replacement teeth. This treatment is attractive to those with loose dentures or those in need of full upper and/or lower restorations. With the All-on-4 dental implants procedure, qualified patients receive just four dental implants and a full set of new upper or lower replacement teeth in just one appointment. This usually able to be done without dental bone grafts.  The real attraction to the all on 4 dental implants procedure is how quickly permanent dental implants can be placed. This allows patients the ability to leave the same day with a denture that is fixed in place and stabilized by the dental implants.

Traditionally, the  approach to restoring a full arch of teeth (either upper or lower) usually involved dental bone grafts, six or more dental implants, and as much as 18 months of treatment. In that time, the patient would be wearing an interim denture while the dental bone grafts and dental implants heal and integrate into the bone. This can be very expensive, time consuming, and uncomfortable for a patient to continuously go back for treatment.

What Appointments are Needed for All On 4 Dental Implants?

The All on 4 Dental Implants procedure consists of the following visits:

Initial Visit(s) – The initial visit(s) for the all on 4 dental implants procedure is necessary for the dentist to do a proper treatment plan for you. These visits will include gathering pertinent medical history, needed X-rays, dental impressions, photos, and a CAT Scan. The dentist will then be able to review all the information with the patient and develop the proper course of treatment.

Actual All On 4 Dental Implants Procedure Visit – At this visit the patient will undergo the procedure for placement of the 4 dental implants. Following placement of

All On 4 Dental Implants Marielaina Perrone DDS

All On 4 Dental Implants Can Transform Your Smile!

the dental implants, the dentist will place the denture in and the patient will leave in the afternoon with a beautiful set of fixed, functional teeth.

Follow-up Appointments - The patient will need to return to the dentist for occasional dental examinations over the next several days, weeks, and months to ensure comfort and fit. In about 6 months, the patient will return for a final set of dentures. The reason for the 6 month wait is to give the tissues in the mouth time to heal properly, correct anything the patient wishes to change, and to allow the implants to properly integrate into the bone.

Conclusion on All on 4 Dental Implants

More than 100 million people in the United States alone are missing between 11 and 15 of their permanent adult teeth. By the age of 60, almost 70% of these people are completely without teeth and in desperate need of complete oral rehabilitation. This is where the all on 4 dental implants procedure comes in and is able to restore people’s teeth and change their outlook on life.

 

© 2012, Marielaina Perrone DDS. All rights reserved. Henderson Dental Implants

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