Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

About Marielaina Perrone DDS

Henderson Dentist +Marielaina Perrone DDS practices Family, Cosmetic, & Implant Dentistry serving Las Vegas and Henderson, Nevada.

Henderson Dentist Dr. Marielaina Perrone's advanced training and years of experience translate into greater confidence and convenience for your entire family. You’ll find complete dental expertise, utilizing the latest advancements in dentistry, all here under one roof.

We are a full service dental practice that specializes in relaxation and cosmetic dentistry services, dental implants, TMJ disorder treatment, periodontal disease treatment, teeth whitening, porcelain crowns and porcelain veneers, and other restorative dental care.

Marielaina Perrone DDS
Family and Cosmetic Dentist

2551 N. Green Valley Pkwy #A405
Henderson, NV 89014

Office: (702) 458-2929

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Living with long-lasting facial pain can be very hard for the sufferers and their loved ones. Often, (identification of a disease or problem, or its cause) and treatment of long-lasting pain can be hard to diagnose.

The source of the pain may be related to infection, nerve, or muscle tissue.  muscle. Botox may be the answer for many muscular issues.

What Can Botox Do?

Botox (BoNT-A) is injected directly into a specific muscle group. Once botox enters the muscle it prevents the muscle from recieving nerve commands. Without this command the muscles will not contract thus leaving them paralyzed temporarily. The most popular use of Botox is to relax facial muscles, removing wrinkles to give a more youthful appearance. Botox can be used throughout the facial muscles to paralyze the painful, spasming muscles related to grinding, clenching, headaches, etc. This paralysis can give much needed pain relief from overactive muscles for as long as 3 months at a time.

What Types Of Dental Pain Can Botox Treat?

-Temperomandibular Joint (TMJ) Pain. The temperomandibular joint is susceptible to disorders, as it consists of delicate moving parts. When any of these moving parts are not in proper alignment pain can be the result. The major reason for damage is due to chronic bruxism (teeth grinding) or teeth clenching. With Botox use in the TMJ area, the muscles of the jaw are allowed to relax and prevent it from contracting, decreasing the grinding or clenching, and in turn decreasing pain.

-Myofacial Pain Syndrome. This is considered a chronic pain disorder. This syndrome occurs when pressure is placed on sensitive points in your muscles. These are called trigger points. When this “trigger point” pressure occurs, the pain can does not always occur at the source, but may begin at a different location from the source of the pressure. This is called referred pain and may be very difficult to accurately diagnose. Myofacial pain syndrome typically occurs after a muscle has been contracted repetitively. This can be caused by repetitive motions used in jobs or hobbies or by stress. Myofacial pain can stem from problems with your TMJ / jaw muscles, or forehead muscles. Myofacial pain can be sudden and debilitating.

-Arthritis. Early studies have shown that Botox injections appear to reduce arthritis pain in the shoulder, knee and hip. These results are promising, and may be helpful in patients with arthritis along with TMJ pain, but further research is needed.


When it comes to chronic pain it is difficult to predict how each patient will respond. It is important to note that an infection should always be ruled out, and diagnosis by your dentist or medical doctor should be conclusive before trying  Botox treatment. Botox may just be the answer to many to relieve them of their chronic pain in the short term. While still being studied, it could be a key component in relieving the symptoms of those suffering from chronic pain.

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.

Botulinum toxin (BoNT-A), or “Botox“, has been used for quite some time as a cosmetic aid in physicians and dentists offices. It can be utilized to make us look and feel younger. Did you know that botox has many other medical uses? It turns out that botox can be used to aid in therapy for many dental, facial pain disorders. It has been reported that approximately 16% of dentists in North America now use BoNT-A in their offices for cosmetic and therapeutic applications.

Botox acts by inhibiting the release of acetylcholine. Acetylcholine depolarizes the motor end plate of the muscle and will cause a muscle contraction. By inhibiting the release of acetylcholine, Botox effectively will either reduce the intensity of the contraction of the muscle or will eliminate the contraction altogether, depending on the amount of Botox used. Essentially, BoNT-A neurotoxin causes a temporary muscle paralysis. Each treatment can usually last between 3-6 months as the muscle initiates new acetylcholine receptors and the growth of branches from the neurons to form new synaptic contacts. Gradually the muscle returns to its full function and with no side effects at all.

Botox And Dental Medicine

Botox can be used for the following disorders:

-Temperomandibular Joint Disorder (TMD) and Facial Pain Management – TMD is a very difficult disorder to treat since its symptoms are varied and complex. The goal of treatment in TMD has been to provide non -invasive, reversible treatment options. Surgery is an option, although rarely used, due to limited success. Botox gives the dentist the ability to relieve TMD and facial pain symptoms for a short period of time (from weeks – months for each treatment). In TMD and facial pain disorder, there are muscular trigger points that radiate outward through the nerve bundles. The  injection of Botox into these trigger point areas, “freezes ” the ability of the muscle  by paralyzing it for a while, can help relieve the intensity of the TMJ muscle contractions. The relief can last up to three months. For trigger point injections, it makes much more sense to use Botox because the effects will last for three months and you are actually helping relieve the intensity of the contraction of the muscle, which is usually in spasm.This temporary muscle paralysis makes Botox a great tool in the treatment and management of TMD and facial pain disorders. The use of Botox products in TMD and facial pain management therapy can give us a totally new insight as to helping these patients who have had trouble getting relief previously.

-Teeth Clenching (Bruxism) – This treatment becomes somewhat tricky as the dose is very important here. Too much botox into the area of the mastication muscles can paralyze these muscles and disrupt a person’s ability to chew and speak. Too small a dose and it has little to no effect. The proper dose will reduce the intensity of the muscles contraction, allowing the patient to still be able to chew and speak properly. When done correctly, the patient will see relief from facial pain and limit the damage done by the teeth clenching, as the force is no longer there to do damage to oral tissues. Using the right amount of Botox will decrease the intensity of contractions of the muscles of mastication as well as give you full ability for chewing, eating properly, and speaking. The relief afforded to patients by Botox can help eliminate facial pain, greatly reduce their TMD symptoms and can significantly help the other associated treatments of periodontal disease by removing bruxism from the equation of treatment.

-Orthodontics – Our muscles play a huge role in where our teeth line up. Following orthodontic therapy some patients teeth will relapse and this may be due to placement of that individual’s musculature. Many patients have an over active mentalis muscle that often causes relapse of the teeth and may cause spasm of the muscles. Botox gives us the ability to reduce these spasms and contractions allowing for limited relapse following orthodontic treatment.

-Treatment of Migraine, and other Headaches – Generally, migraines have been a source of the unknown for many patients. Migraines have multiple symptoms beyond just headaches. These can include nausea, dizziness, and even light sensitivity. The use of Botox can relieve these symptoms. The placement of a few well placed injections around the temples, forehead, and neck/shoulder area can ease these symptoms by preventing the pain signals to reach the nerve bundles on the head and neck. This can also relieve severe headaches in the forehead region, if you suffer from them frequently. This can get quite expensive but for those suffering it can be well worth the cost to feel pain free again.

-Controlling Excess Saliva Production (also called sialorrhea) – The more common term for this is drooling. While there are other treatments for this, botox gives the ability to stop the excessive salivary production by injecting into the parotid and submaxillary glands. Again, this treatment is very dose specific. Too high a dose can disrupt a person’s chewing ability and also lead to dry mouth (xerostomia).

-Facial Asymmetry – In many of us, the muscles of the face may be asymmetrical leading to an imbalanced look to the face. Botox can restore that symmetry by balancing the facial muscles. Eyebrow lift, or depression of the brow can be enhanced with properly placed botox.

-Gummy Smile – This is shown as a smile that shows too much gum tissue. This usually is the result of the lip rising too high when smiling. Injecting Botox into the upper lip weakens the retractor muscles of the upper lip so that it won’t raise as high and your smile will seem better-balanced.

-Trigeminal Neuralgia- This extremely painful condition can be brought about by something as simple as air blowing on your face. Freezing a few select muscles on the affected side of the face can bring relief from extreme pain, and piece of mind. Not having to worry about accidentally setting off the facial pain can give you your life back.

Botox and Dentistry Conclusion

As with any botox application, training is critical. The dentist placing the injections should be well versed in not only a person’s anatomy but also in the use of the right dosing of the botox. Too little and there will be no relief from symptoms while too much botox can lead to disabling effects. Botox gives patients and dentists new possible treatments that can lead to better lives for all of us.

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.


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.