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.




Botox cosmetic has been used by plastic surgeons for years for cosmetic reasons. Dentists more recently have been using Botox for similar reasons but also as additional therapies. These therapies can now include therapy for Temperomandibular Joint Disorders (TMJ). Botox can be used to treat tension in the jaws, headaches from bruxism (teeth grinding), and even possibly lockjaw in severe scenarios.

Botox For TMJ

Botox for TMJ has not been approved by the Food and Drug Administration (FDA) as treatment for temperomandibular joint disorders (TMJ). However, Botox has been approved by the FDA for painful conditions such as migraines. Migraines are potentially related to TMJ disorder. Clinical trials published so far have been small and have produce inconsistent findings. A 2012 study found that Botox could significantly decrease pain and increase mouth movements for three months following treatment. However, this was an extremely small study that had under 30 participants. Similar studies have been completed which showed significant results as well. To date there has not been a large enough study to definitively tell if botox for TMJ is the answer to TMJ disorders. Other studies include one 2016 study published in the Journal of Headache and Pain found that TMJ patients who had Botox for TMJ treatments experienced a reduction in pain and headaches, which led to requiring fewer painkilling drugs. In 2003, a clinical study from the University of Bonn discovered that approximately 90% of all study participants who had not responded favorably to conventional TMJ treatments saw significant improvements after using Botox for TMJ to address their TMJ related pain symptoms.

TMJ Disorders

Botox For TMJ Henderson NV Marielaina Perrone DDSThe temporomandibular joint (TMJ) is the area right in front of the ear on either side of the face where the upper jaw (maxilla) and lower jaw (mandible) meet. Muscles attached to and surrounding the temperomandibular joint control the position and movement of the jaw. This joint is a very unique sliding “ball and socket” that has a disc sandwiched between it, it is the only joint in the body which can move in all directions. The temporomandibular joint functions to move the jaw, especially in biting and chewing, talking, and yawning. It is one of the most used joints in the body.

The temporomandibular joints are a very complex system and are made up of muscles, tendons, a disc and bones. You have a temperomandibular joint on each side of your jaw (right and left side). Each individual part contributes to the smooth complex movement of the temperomandibular joint. When the muscles are relaxed and in balance and both jaw joints open and close comfortably, we are able to talk, chew, or yawn without any discomfort or pain.

TMJ disorders can be a very complex set of problems of the jaw joint. The muscles and joints work together in harmony. A problem with either the muscles or the joints or both can lead to stiffness, headaches, ear pain, bite problems (also referred to as a malocclusion), clicking sounds, or locked jaws. TMJ disorders can be caused by many different types of problems. These can include arthritis, trauma to the jaw, or muscle fatigue from clenching or grinding your teeth. TMJ disorders most commonly occur in women between the ages of 30 and 50, but can occur in teens following orthodontic treatment, and in both men and women at any age.

Botox For TMJ Side Effects

Botox For TMJ disorders is not without side effects. Botox itself has common side effects associated with its use in the area of the TMJ. These can include:

-headache

-bruising at injection site

-respiratory infection

-muscle weakness

-flu-like illness

-rash at injection site

-nausea

-skin irritation

-temporary eyelid droop

Botox For TMJ Procedure

Botox for TMJ is a non surgical procedure and completed in your dental office. It usually takes less than 30 minutes to complete.

The site for botox injection can vary depending on your symptoms but may include the following muscles:

  • Temporalis muscle
  • Frontalis muscle
  • Masseter muscle

The injections are made with a small gauge needle and are not considered painful, but you may feel a slight prick or pinch as the Botox is injected into site. Your dentist may use a cold compress or local anesthetic to help reduce discomfort and make it more comfortable for you. Following the procedure, you can return to your regular routine immediately.

Some improvement can be felt within a day or two following Botox for TMJ treatment, it usually takes a few days to feel full relief. Some patients have reported that they feel best about 6-8 weeks following Botox for TMJ treatment.




Dentist Vs Orthodontist – Which To Choose?

There are many misconceptions between dental specialties as the lines become blurred. Many services that were only done by specialists are now routine in a family dental office. These procedure include dental implants, root canal therapy, and orthodontics. A family dentist vs orthodontist begin with same basic training in dental school and then the paths diverge following graduation from dental school. Read below for further clarification on dentist vs orthodontist.

Dentist Vs Orthodontist Education And Training

Following 4 years of dental school, a dentist has multiple paths to go forward into their future career. They can enter private practice or they can complete a dental residency for advanced training or they can go on to further schooling to specialize in a particular specialty branch of dentistry. These specialties can include oral surgery, periodontics, or orthodontics.

Those who choose to specialize will apply to graduate programs in the field of their choice. Between 6 and 8% of all dental school graduates go on to become orthodontists. Orthodontic training continues from the basics learned in dental school and narrows the focus to a branch of dentistry dealing with irregularities of the teeth (such as malocclusion) and their correction (as by braces). That definition comes directly from Merriam Webster. Both are extremely important to ensure your mouth functions properly when eating and chewing. If your teeth are crooked or your jaws are misaligned this can cause digestive problems  and dental hygiene issues, such as gingivitis (gum disease). It can also make it difficult to clean your teeth properly.The extended training takes between 2-3 years and adds about 5,000 hours of orthodontic training. Orthodontists have many techniques and dental materials at their disposal Marielaina Perrone DDS Dentist Vs Orthodontist Las Vegas NVto help them move the teeth and jaws into proper alignment, including traditional braces, lingual braces (attached on inside of teeth) and clear aligners (like Invisalign), among other orthodontic appliances. Because every patient has their own unique alignment issues, orthodontists use X-rays and pictures of the teeth to create personalized treatment plans. These plans can be simple to very extensive depending on the issues with your smile.

Family dentists treat patients’ overall oral and dental health. Through routine checkups, dentists can detect and treat cavities, periodontal disease, and oral hygiene problems, and they can also extract teeth as necessary. Dentists also can improve the function and cosmetic appearance of teeth with the following services: tooth bonding, porcelain or composite veneers or dental crowns to teeth that are broken, chipped, misshapen or have been affected severely by tooth decay. Your dentist will also evaluate the tissues inside your mouth for signs of oral diseases (such as oral cancer) and gives advice on how to maintain your oral health. If your dentist notices a problem beyond the scope of their education, they will refer you to a dental specialist or physician as they see fit. An orthodontist is one of those specialists your dentist may refer you to for further treatment.

Choosing Between Dentist Vs Orthodontist

When choosing dentist vs orthodontist there will be some overlap between dental services offered. Many family dentists will also offer some orthodontic services to their patients. Orthodontists are only able to offer services that fall under their specialty. A dentist can perform orthodontics but an orthodontist cannot treat periodontal disease or fabricate a dental crown. This is a major difference in the dentist vs orthodontist debate.

Dentist Vs Orthodontist Treatments Offered

Family dentist services can include but not limited to the following:

-Treatment and Restoration of Tooth decay

-Root Canal Therapy

-Treatment of Periodontal Disease

-Dental Crowns and Dental Bridges

-Porcelain and Composite Veneers

-Teeth Whitening

-Dental Implants (placement and restoration)

-Basic Orthodontics

Orthodontists provide services related to:

-Misaligned Teeth

-Crowded Teeth

-Overbite

-Underbite

Dentist Vs Orthodontist Conclusion

A dentist should be your go to for all your dental needs. An orthodontist will be necessary when your dentist decides treatment behind their scope is needed. An orthodontist is someone you will see for a fairly short time while a dentist will be someone you will see for a lifetime to maintain healthy teeth and gum tissues. The dentist vs orthodontist question is not a battle but a partnership. They work hand in hand to deliver high quality dental care to their patients.

 




The standard of care for professional dental cleanings has long been every 6 months. This still holds true today for most patients. Studies have repeatedly shown that those who goto regular dental visits are less likely to have the need for a dental restoration or to have a tooth removed.

Are Teeth Cleanings Necessary?

While for many at home care can be a breeze for many others it is a constant struggle. Our daily lives can get in the way of even the simplest tasks including our oral hygiene. Regular professional teeth cleaning removes plaque, the soft yellowish build-up, and calculus (hardened plaque) that we are just not able to get to. This soft build-up is made up of billions of different types of bacteria that live and reproduce in our mouth by feeding on the food we eat releasing acids that if left alone will damage our teeth and periodontal tissues.

Most bacteria co exist in our bodies without causing too much trouble to our health and well being. But certain bacteria in dental plaque, when they grow in numbers, can lead to tooth decay or periodontal disease.

A professional dental cleaning will reduce your chances of developing tooth decay or periodontal disease by significantly reducing the amount of plaque, calculus, and bacteria in your mouth.

How Often Is Acceptable?

As a dentist, my patients often ask me how regularly they should come in to get their teeth cleaned. My response is usually: “That depends”. For most of the population every 6 months is the right number. But there are those who just cannot maintain dental hygiene on their own or they develop calculus faster than others. So for those patients I will recommend a schedule of every 3 months. 2 extra visits a year to maintain your dental health should not feel like a lot. This will reduce chances of tooth decay and periodontal disease development in these patients over the long haul.

Factors Affecting Dental Hygiene

We know certain lifestyle choices can affect a person’s risk of developing tooth decay and periodontal disease. Following are some questions you may ask yourself to understand whether you are at an increased risk:

-Does your drinking water contain Fluoride? Is this your main source of drinking water?

-Do you frequently snack, including on sweets?

-Are you a regular flosser?

-Do you brush your teeth at least twice a day?

-Do you visit your dentist for toothaches rather than routine examinations?

-Have you had multiple teeth with tooth decay at your last few dental visits?

-Is your dentist “watching” a lot of teeth with early tooth decay?

-Do you have to wear a denture or undergoing orthodontic treatment?

-Do you develop excessive amounts of calculus quickly?

-Do you suffer from a chronic long-term health condition such as diabetes?

-Do you suffer from a xerostomia (dry mouth)?

If you were able to answer “yes” to most of the questions above, you are likely to need to see your dentist or hygienist at least every six months, if not more often based on your dentist’s recommendations. Following a professional cleaning, people prone to tooth decay can benefit from the fluoride treatment following removal of plaque and calculus. Studies have shown that professional fluoride treatment every six months can lead to about a 30% reduction in the development of tooth decay.

Dental Health = Overall Health

Some patients with chronic health issues such as cardiovascular disease or diabetes will need to see their dentists more frequently. This is because they are much more susceptible to periodontal disease.

Patients taking blood thinners and other medications, such as for osteoporosis, may need to visit the dentist more regularly as well. These medications can complicate the process of an tooth extraction or other dental work, so regular checks and cleanings are best to help detect problems before they become serious.

Financial Concerns?

The cost of seeing your dentist and dental hygienist 2-4 times per year will be far less than restoring your teeth over the long run. Routine dental health maintenance is the best insurance you have to maintain a healthy smile.

Protecting your smile

Parents often wish to set a good example for their children by making regular check and cleaning appointments for the whole family. In the end, only you can choose what you feel is right for you. Maintaining a healthy smile that will last a lifetime is important to most people.



Orthodontic braces have become a modern dental tool to recreate our smiles in the image we all want. many believe, orthodontic braces was a dental treatment reserved only for children. Rapid advancement in orthodontic techniques and materials have led to changes in the appearance of orthodontic appliances, and given dentists the ability to increase the speed of movement of our teeth. Orthodontics have become an ideal treatment choice for many teens and adults (even seniors). There are multiple options for orthodontic treatment today to make them as cosmetic as possible with markedly shorter treatment lengths to go along with an improved cosmetic appearance. What are some common questions patients have about orthodontic braces? Below you will find many of them:

What Is Orthodontics?

Orthodontics is the treatment of irregularities in the teeth (especially of alignment and occlusion) and jaws, including the use of braces.

Are Orthodontic Braces Just For Children and Teenagers?

According to the Orthodontic Association numbers about 1 in 5 (20%) of all orthodontic patients is an adult. This shows it is never too late to begin orthodontic treatment to correct various issues. These could include crowded or crooked teeth, temperomandibular joint disorders (TMJ), underbites, or even overbites. The process for adults and kids is the same but adults will present some challenges as expected. Children and adolescents are growing while adults are not. For adults, that window of opportunity has closed so treatment may take longer for adults.

What Is The Best Age To Get Orthodontic Braces?

While there is no “perfect” age. For children and teens it is usually between the ages of 10 and 14. The exact time depends on each individual’s tooth eruption schedule. With that said orthodontic braces are highly effective in older teens and adults as well. Any age is available provided the patient is healthy both systemically and dentally.

Orthodontic Braces Marielaina Perrone DDSAre All Orthodontic Braces Ugly and Unattractive?

No. Modern orthodontics have made many advancements in both techniques and dental materials to allow for many attractive options. You can go colored or clear or even ceramic tooth colored brackets. Or you can go almost invisible using invisalign type retainers. Bottom line the capability is there to fit any needs and desires cosmetically.

How Long Should I Expect Orthodontic Treatment To Last?

The average length of treatment for most kids is 1-3 years. This can vary quite a bit from individual to individual based on severity of their particular case. Other factors come into play as well including dental hygiene maintenance, following dentist instructions, avoiding foods that can cause complications (example gum and gummy bears), and maintaining regular dentist schedule.

Are All Orthodontic Braces Treatment Uncomfortable and Painful?

No. Will there be some discomfort and pain as teeth are shifting…..yes. But that pain and discomfort should be quite temporary. If it is not speak to your dentist or orthodontist immediately.

Are Orthodontic Braces Only Cosmetic?

While they can be a very cosmetic procedure there are many functional benefits as well. Straighter teeth will be easier to keep clean. This will lead to better dental hygiene and decreased risk of tooth decay and periodontal disease. Orthodontic braces can also correct skeletal issues which can equal reduced jaw pain and easier chewing by patient.

What Causes The Need For Orthodontic Braces?

Orthodontic problems are usually genetic. This means you inherited them from your parents. Issues can also occur through developmental factors. A few of the most commonly inherited conditions include crooked teeth and crowded teeth. Developmental factors such as thumb sucking and the premature loss of baby or permanent teeth can also cause the need for orthodontic braces.

Are There Alternatives To Orthodontic Braces?

Some Adults choose porcelain veneers instead of orthodontic braces to straighten the front teeth. This is a good cosmetic dentistry alternative, however, this will not correct many issues associated with orthodontic treatment.

Do You Still Need To See Your Dentist While Undergoing Treatment With Orthodontic Braces?

Yes. Maintaining regular dental examinations and professional cleanings is critical so you do not develop tooth decay or periodontal disease during orthodontic treatment.

Orthodontic Braces Conclusion

Orthodontic treatment can be a major undertaking for many patients. There is a huge time and cost commitment from every patient. The more educated you are, the easier the decision will be.