Family & Cosmetic Dental Care in a Relaxed Environment.

Exceptional Dentistry Las Vegas and Henderson NV Since 1999.

Dental Implants, Teeth Whitening, Porcelain Veneers, &
Botox Cosmetic.

What Are Bridges In Dentistry? Post



Dental Bridges are fabricated out of 2 or more dental crowns covering teeth on either side of the missing tooth (there will be a gap present). Dental bridges literally just bridge the gap created my at least one missing tooth but can be multiple missing teeth the dental bridge is replacing.

Bridges are made up of 2 or more dental crowns for the teeth on either side of the space . These 2 or more anchoring crowns are referred to as anchoring abutments. A false tooth or teeth is located in between. These false teeth are referred to as dental pontics and can be fabricated from gold, alloys, porcelain, or a combination of any of these dental materials. Dental bridges can supported by either natural teeth or dental implants.

Benefits Of Dental Bridges

Dental Bridges can do the following for you:

-Restore your smile to its fullest potential by replacing lost teeth

-Restore your ability to properly chew and speak

-Maintain and restore the shape of your face

-Allow for even distribution of the forces in your bite properly by replacing missing teeth

-Prevent remaining teeth from drifting out of position. If this happens more damage can occur as your bite changes

Types of Dental Bridges Available

-Traditional dental bridges involve fabricating a dental crown for the tooth or implant on either side of the missing tooth, with a dental pontic in between. Traditional dental bridges are easily the most common type of dental bridge and are made of either porcelain fused to metal(PFM) or ceramics.

-Cantilever dental bridges are prescribed when there are adjacent teeth on only one side of the missing tooth or teeth. This is not a very common with the addition of dental implants to a dentists arsenal and is not recommended in the back of the mouth where the forces can cause damage to the dental bridge as well as surrounding teeth.

-Maryland bonded dental bridges (also referred to as a dental resin bonded bridges) can be made of porcelain, porcelain fused to metal(PFM), or plastic resin teeth and gums supported by a metal or porcelain framework. Metal or porcelain wings often on just one side of the bridge are bonded to your existing teeth.

-Dental Implant Supported Bridge – implant supported dental bridges can be used when you have more than one tooth missing. Instead of being supported by dental crowns or metal frameworks, this type of dental bridge is supported by dental implants. Generally, 1 (one) dental implant is placed for every missing tooth, and this series of dental implants holds the bridge in place. However, the bridge may consist of a pontic suspended between two implant-supported crowns if placing one implant for every lost tooth is not possible.

Marielaina Perrone DDS Dental Bridges

Office Visits For A Dental Bridge

During the initial visit to your dentist for getting a dental bridge, the abutment teeth are prepared to accept a dental crown. The preparation involves re-contouring these teeth by removing a portion of enamel to allow room for a crown to be placed over them. Next, dental impressions of the teeth are made, which give the lab technician a model from which the bridge, pontic, and crowns will be made. Your dentist will fabricate a temporary bridge for you to wear to protect the exposed teeth and gums while the bridge is being made.

During the second visit, your temporary bridge will be removed, the temporary cement will be cleaned off the teeth, and the new porcelain or metal bridge will be checked and adjusted, as necessary, to achieve an ideal fit. Multiple visits may be required to check the fit of the metal framework and bite. This is dependent on each individual’s case as metal can distort as well as teeth moving ever so slightly. If the fit is acceptable to the dentist, the dental bridge will then be cemented in place.

Dental Bridges Cost

The overall cost of a dental bridge varies depending on the type of bridge selected and the materials used by your dentist. Dental insurance, if you have it, will typically pay a percentage of the fee for your dental bridge depending on the individual dental plan.

How Long Will My Dental Bridge Last?

Dental bridges can last five to 15 years and sometimes even longer. With a good oral hygiene regimen as well as regular dental checkups, it is not unusual for dental bridges to be still going strong after 10 years. It will depend on each individual in the end.

Eating With Dental Bridges

Eating should be easier once the dental bridge is in place. This is because you will no longer have a gap for food to get trapped into.

Caring For Dental Bridges

Following a good oral hygiene regimen of brushing, flossing, and rinsing along with regular dental examinations with dental cleanings is all you will need to do. The better dental hygiene you maintain the better chance of that dental bridge lasting a long time. Flossing will be more of a challenge as you need to thread the floss under the bridge to keep it clean. Your dentist will recommend floss threaders to use. This will allow you to get under the bridge and properly keep it clean and healthy.

Dental Bridges Conclusion

Your dentist can close the gaps in your smile with one of the 4 types dental bridges to restore your smile. With so many types of dental bridges available, you can feel confident that your dentist has an appropriate solution for your missing teeth.

Wedding Day Smile Post


A wedding day is a memory that will last a lifetime. Our wedding photos will be shown to our family, friends, children, and even grandchildren. Shouldn’t your wedding smile be up to the task to ensure long lasting beautiful memories? A well trained cosmetic dentist can make major and even minor changes that can alter one’s smile to make it more pleasing to themselves as well as others. Below you will fond some common procedures to make you smile shine brightly on your big day.

Cosmetic Dentistry For Your Big Day!

-Dental Bonding. This procedure uses tooth colored dental materials that are adhesively bonded to a tooth. This might be one of the simplest and most cost effective cosmetic dentistry procedures to bring your smile back to life. Dental bonding gives your cosmetic dentist the ability to change shape, size, color, length, and close any gaps that might be present in your smile. Dental bonding can be completed in a short period of time (as little as an hour). The main disadvantages of dental bonding are possible chipping, wearing over time, and staining. The final end product is not as strong as a porcelain restoration and may need to be updated as time goes on. While dental bonding is also used to restore teeth damaged by tooth decay it can also be used as a cosmetic veneer. Dental bonding is a very easy way to make your smile youthful and natural in appearance again for that perfect wedding smile.

-Porcelain Veneers and Porcelain Crowns. Often referred to as “instant orthodontics”, porcelain veneers give the dentist the ability to change the alignment of teeth, if the alignment issues are not too extreme. Porcelain veneers and porcelain crowns can be a great way to replace lost tooth structure and alter imperfect teeth creating a more youthful, natural appearance. Porcelain crowns and porcelain veneers usually require more than one visit, but the results will give you a beautiful, youthful smile that lasts for years to come. Porcelain Veneers are custom made, ultra thin, tooth colored shells that are bonded to your teeth, and will not change color over time. This allows the cosmetic dentist to not only alter color of your teeth, but shape and length as well. Porcelain crowns can be used on teeth that either already have crowns or need more extensive work (having prior large restorations or existing tooth decay). Both porcelain veneers and porcelain crowns can as used by your dentist to give the patient a flawless, more youthful and natural looking smile.

-Teeth Whitening. This is quite possibly the most popular cosmetic dentistry procedure today. It is safe and effective and comes in a few forms. These forms include in office whitening, at home whitening (with dentist provided trays), as well as use of teeth whitening strips, and topical gels. All of these methods are quite effective for most people. It has been proven by research time and again, that people find a whiter smile to be more youthful and attractive.  People tend to feel better about themselves when they are happy with their appearance. Teeth whitening can give patients a dramatic change to their smile with minimal cost and time invested.

-Teeth Re-Contouring. This might be one of the simplest cosmetic dentistry procedures of all. It is usually done without the need for anesthesia and can be as simple as filing down a tooth that appears longer or is slightly out of alignment with the others. Most patients are quite surprised at how such a small adjustment can alter their smile for the better.

-Gum contouring and Gum grafting. Evening out gum levels can help teeth to look more evenly sized and can make short teeth appear longer. Gum grafts can fix areas where gum recession has occurred to make everything appear even and natural again.

-Dental Implants. Dental implants allow cosmetic dentists another option in tooth replacement to recreate a youthful, attractive smile. Whether it is a single tooth or a full mouth restoration, dental implants can fill that need. Missing teeth or open spaces has long been considered a sign of old age. Having a full set of white teeth screams youth especially when they are bright, white, and sparkling. When a person is missing a tooth they have several options. There are partial and complete dentures (including the all on 4 dental implants system), traditional bridges, and dental implants. A dental implant can look and feel just like a natural tooth. It is also easier to keep clean than a traditional bridge. Dental implants are placed directly into bone creating a solid foundation for a natural tooth replacement.

-Bite Reclamation. Over time as we age, we tend to lose some height on our teeth. This loss of height of height is also referred to as loss of vertical dimension. Some other factors that cause this loss include acid reflux or teeth grinding (bruxism). Reclaiming a person’s bite utilizing dental implants and porcelain crowns will increase vertical height which will also remove some of the wrinkles around the mouth. These wrinkles develop as our we age and our mouth’s sag from this loss of dimension. Cosmetic dentistry can fix some of this.

-Botox and Dermal Fillers. Historically an area for cosmetic surgeons but dentists around the world have now added these procedures to give what is called a dental face lift. In combination with dental work, removing some of those wrinkles on the face and around the mouth specifically will better frame that beautiful, white, youthful smile. A dentist may use dermal fillers or botox injections to get you ready for your big day!

Wedding Smile Conclusion

A wedding smile will last a lifetime both in pictures and actual appearance. If you are interested in modifying your smile see your dentist as soon as possible so treatment can be planned prior to your big day. Some treatment can be completed in a short time but other more extensive treatment can take weeks if not months to complete.

Dental Implants And Osteoporosis Post


Osteoporosis is a disease of bones that leads to a decreased density of bone and subsequent increase in risk of fracture. Osteoporosis causes bones to become weak and brittle. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine.

Osteoporosis affects millions of people all over the world. It affects men and women of all races. Women are 4x more likely to develop osteoporosis. Research has shown that post-menopausal white and Asian women are at highest risk. Medications, healthy diet and weight-bearing exercise can help prevent bone loss and strengthen already weak bones. There is recent research showing that women who drink wine in moderation tend to have higher bone density than those who abstain from alcohol.

How Do I Know If Dental Implants Are An Option?

The first step is to get your osteoporosis under control and limit the further effects of the disease. This includes seeing a physician to prescribe the proper medications, diet, and exercise routine. The next step is to see your implant dentist for a full evaluation. This evaluation will include your overall health, your oral health, as well as the degree of your osteoporosis.

Some considerations before having dental implants placed include:

-State Of Oral Health. A major factor in the failure of dental implants is the presence of periodontal disease. With a patient already being compromised with osteoporosis this becomes doubly important that the patient be periodontal disease free.

-Strength, Density, And Volume Of Bone Tissue. You need to have some good quality bone left to have an implant last, healing will be prolonged, so volume of bone is extremely important.

-Medications. This includes medications you are taking for osteoporosis as well as other medications which could counteract those medications. Bisphosphanates have been long known to keep the body from reabsorbing bone tissue, but they also appear to affect your ability to heal after a dental implant procedure. Biphosphonates can increase the risk of biphosphonate-induced osteonecrosis of the jaw (also called BONJ). When BONJ occurs, the bone tissue actually begins to die due to inadequate blood supply.

-Is The Patient A Smoker? Smoking has long been a failure factor in dental implants as well as bone loss. Nicotine is a vaso constrictor so blood supply to the bones in the jaw can be compromised.

-Presence Of Systemic Disease. This can include a decreased immune system or diabetes. Good health is important for good healing.

If you have been diagnosed with osteoporosis, dental implants may still be an option. If osteoporosis has affected other parts of your body, it might not necessarily have caused decrease in jawbone mass or breakdown of these tissues. Recent research (International Journal of Oral and Maxillofacial Implants, Vol 21: 349) has shown a lowered success rate in patients with osteoporosis but the difference was less than 2%. The general success rate for dental implants is about 97% whereas the success rate in this limited study was 95%. The study also showed that bone grafting was successful as well.

Conclusion

Dental implants have long been the treatment of choice for tooth loss. For those who have been told it is not an option the effects can be devastating. The recent research gives hope to those who previously were told that it was not an option. Each individual needs to be evaluated on a case by case basis taking all factors into account before delving into placement of dental implants. If you are missing teeth or about to lose them, contact your dentist for a dental implant evaluation.

Tooth Bonding Can Create A Beautiful Smile! Post


Tooth Bonding is a common cosmetic dentistry procedure that can make minimal and maximum changes to your smile. The beauty of tooth bonding is it generally can be completed in a single appointment and may or may not need dental anesthesia and is less expensive than porcelain restorations. . This cosmetic dentistry procedure involves reshaping and blending teeth. Tooth bonding utilizes 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). 

Tooth Bonding Procedure

Tooth bonding can be used to restore function to a tooth that has tooth decay or just to add a cosmetic dental change. What is involved in the tooth bonding procedure?

-Preparation. Very little preparation is necessary for dental bonding, especially in the case of a chipped tooth. Anesthesia is usually not even needed unless the tooth bonding is needed to restore a deeply damaged or traumatized tooth, a fracture close to the nerve, a sensitive tooth, or a tooth damaged by a tooth decay. Your dentist 89014 will need to roughen up the surface and clean the edges to prepare the area to accept the tooth bonding.

-An acidic etching gel (phosphoric acid) is applied to the tooth being treated to ready the surface for bonding of the dental composite. The gel opens up microscopic tubules which allows for proper bonding to the natural tooth surface.

Tooth Bonding Marielaina Perrone DDS-A liquid conditioning agent is applied to the tooth which wets the surface and again facilitates bonding.

-Your dentist will then choose the proper shade of dental composite to match the tooth being worked on but also the surrounding teeth.

-The dental composite is then formed and shaped so that it will fit into the necessary treatment area can restore the natural contours and function of the tooth. Multiple layers of dental composite are applied. This allows for a stronger end product.

-A special UV light is held over the dental composite. This light hardens and cures the dental composite. Each layer will be cured within seconds.

-After the material has cured, your dentist will adjust the material to remove any excess and bring it to a high polish. This will also be the time your dentist will ensure the bite (or occlusion) is correct. Adjustments may be made to bring the teeth into proper alignment. The final shaping and polishing is one of the most important parts of the process. It is important to blend the composite resin properly to get a result that looks and feels like your natural tooth structure.

-The entire dental bonding procedure usually between 30 minutes to an hour for each tooth. If done properly, tooth bonding should not be noticeable to anyone. It should match your existing tooth structure perfectly.

-Going forward to maintain the tooth bonding, you will want to be diligent about your dental hygiene. This should include brushing and flossing regularly.

What Can Tooth Bonding Do For You?

Tooth bonding is a popular cosmetic dentistry procedure, but can also be used to restore teeth that have tooth decay. Tooth bonding can do the following:

-Repair cracks or chips in teeth.

-Close gaps in between teeth.

-Cover stains or discolorations.

-Cover exposed roots thus eliminating or decreasing tooth sensitivity.

-Change length or shape of teeth.

Tooth Bonding Conclusion

A dentist has many tools to restore your teeth but none more important than dental bonding. It is a versatile cosmetic dentistry procedure that can restore your smile to its natural form and function.