Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

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.


The new year is fast approaching and it may be time to start thinking about what your New Year’s resolutions should be. These usually include losing weight,

Have A Healthy, Happy New Year!!

striving for a better job, or maybe even just being  a better friend or partner. Many people also set new goals for leading a healthier life going forward. So why not make some New Year’s resolutions regarding your dental health?

Making dental health resolutions can keep your teeth healthy, and studies have shown it can keep your entire body healthy as well.

Dental Health New Year’s Resolutions

Eat A Well Balanced Diet including Fruits and Vegetables

Eating a well balanced diet is important for yourdental health. If your body is not getting its propernutrition it can affect your entire immune system. Poor nutrition, increases susceptibility to many common oral disorders, including periodontal disease and tooth decay. Antioxidants and other nutrients found in fruits, vegetables, legumes and nuts improve your body’s ability to fight bacteria and inflammation. Healthy eating helps to protect your teeth and gum tissues. In addition, crisp fruits and raw vegetables like apples, carrots and celery can actually help clean plaque from teeth and freshen breath as well.

Quit Smoking or Using Other Tobacco Products

Using tobacco has been proven to be bad for your dental health as well as your general health. Some of the dental issues associated with smoking include:

-Tooth Discoloration.

-Tooth Decay.

-Gingival Recession.

-Periodontal Disease.

-Increased risk for cancer. This includes oral cancer as well throat, lung, and other systemic cancers.
People who smoke are almost twice as likely to lose their teeth as non smokers. It is not just smoking tobacco that has negative effects on your oral health: use of smokeless tobacco can be just as damaging to your dental health. The good news is, that the risk of tooth loss decreases after you quit smoking or using smokeless tobacco.

Use Alcohol in Moderation

You may already know that excessive alcohol intake can have an effect on your overall health, but did you know that it may also affect your dental health? According to the Academy of General Dentistry, those who use tobacco products, are more likely to maintain poor nutrition. Drinking excessive alcohol also  increases gum recession (periodontal pocketing). Studies show that smokers who regularly drink alcohol are less likely to brush and floss their teeth regularly and are less concerned about their basic health than non smokers.

Improve Dental Hygiene: Brush and Floss Regularly

Brushing and flossing protect your teeth from tooth decay and periodontal disease. These are caused by your teeth’s most persistent enemy, plaque. Both brushing and flossing are equally important for good oral health. Studies have shown that only flossing can remove plaque from between teeth and below the gum line,areas  where tooth decay and periodontal diseasebegins.

Without proper brushing and flossing, you may develop bleeding gums and gingivitis. Gingivitis is the earliest form of periodontal disease and is reversible. If untreated it will worsen to severely swollen, red, bleeding gums and, eventually, advanced periodontal disease. Periodontal disease has been linked to your general health, therefore, it is doubly important to maintain good dental health at all times.

See Your Dentist for Regular Examinations and Cleanings

By seeing your dentist at least twice a year for dental examinations and cleanings, you can help prevent any dental health issues before they cause pain or require more comprehensive or expensive treatment. Regular visits allow your dentist to keep track of your oral health and recommend an individualized dental hygiene maintenance regimen to address areas of concern.

Happy New Year!!

For the new year and for years to come you should resolve to improve your health, dental hygiene habits, quit smoking, drink in moderation, and improve your overall diet. Your teeth and body, and loved ones will thank you for it for many years to come!  Bring in the new year with a smile!

At home dental hygiene is often neglected due to our busy schedules. While many are diligent in maintaining good oral health at home others let it slide. The recommended daily regimen is brushing in the morning after breakfast and again before bedtime. Is it helpful to brush more often?

Tooth Brushing Frequency

The answer to the above question is YES and NO! It is definitely possible to over brush our teeth. It is estimated that approximately 80% of us are over brushing. Some of us become obsessed, but we are brushing incorrectly and we are brushing with the wrong type of toothbrush. There is definitely such a thing as too much of a good thing when it comes to brushing your teeth.

Brushing your teeth too frequently and too aggressively can damage the structure of our teeth as well as wear out the tooth enamel. Toothbrushes are designed to last around 3-4 months before they lose their soft bristles. However, frequent usage of the toothbrush would wear down the bristles and leave the bristles jagged and sharp, with serrated edges. When this happens, your toothbrush can then wear away the enamel and dentin from our teeth.

As a result, you should replace your toothbrushes before the bristles splay so that you’re reassured that your toothbrush would not wear away your tooth structure. You also should choose toothbrushes that will not hurt your gums and teeth. It is recommended that a soft bristle toothbrush is used unless recommended differently by your dentist.

Proper Brushing Technique

1. You should always try to choose a toothbrush with soft bristles. Tooth brushes can be chosen on individual preference.  Basically, choose one that you are comfortable with.  Also size of brush head is important. If the toothbrush is too large to fit properly in your mouth, you will be unable to reach the further most areas. For many an electric toothbrush will work best. Our office recommends the Rotadent (made by Zila) electric toothbrush but any would be fine if it is effective for you.

2. Rinse your brush before using it. A small amount of tooth paste is enough for brushing. You do not need to cover all  the bristles with toothpaste. Just want enough on there for the paste to do its work.

Proper brushingProper brushingProper brushing

3. Hold the tooth brush angulated at 45 degrees to your teeth towards the  gums. Do not hold the brush flatly against your teeth. You want to be able to have the brush go all the way down to the gum line where most of the plaque resides. Paying extra attention to the gum line, hard-to-reach back teeth and areas around fillings, crowns or other restoration.

4. Start from the back of the upper jaw. You need to ensure you are cleaning all surfaces of the teeth effectively. There are three surfaces…..

1. The chewing surface of teeth.

2. The outer surface of the teeth facing the cheek.

3. Inner surfaces of the teeth.

Start with 3 teeth at a Clean on all 3 surfaces of the teeth. Use gentle pressure with short back and forth movements. Avoid using vigorous pressure as it is unnecessary. Let the brush and paste do the work for you.

5. After cleaning the 3 back most teeth, move on the next 3 teeth…..and so on.

6. After you have completed brushing your upper teeth, move on to your lower teeth and complete brushing in the same way as the upper teeth.

7. After brushing your teeth, brush along the gum line gently to remove any lodged food particles. Also, brush your tongue. Brushing your tongue will remove bacteria and buildup there to help with bad breath.

Tooth Brushing Recommendations

1. It is necessary to brush your teeth at least twice a day. Most people do this once every morning upon waking up, and before they go to bed at night. You can also brush your teeth after your midday meal or snacks.

2. Use short, gentle strokes to clean your teeth. Brush the outer and inner surfaces, as well as your tongue. If you have to clean in between your teeth, then use vertical brush strokes.
Then, you should brush your teeth for at least two minutes at a time. This would ensure that you have adequately removed all the plaque, food residue, and bacteria that may be in your mouth.

3. Remember to floss each night before going to bed to ensure that there is nothing stuck in your teeth.

One last tip, would be the use of a plaque disclosing solution. This would give you a visual aid to see what areas you are missing or need work on.

Toothbrushing Can Keep Away Tooth Decay

Above all, you should visit your dentist every six months for a professional dental cleaning to remove any tartar or plaque build up. These regular visits would ensure that your mouth is as healthy as it can be. Your dentist would also use this opportunity to clean your mouth thoroughly to get rid of the tartar and plaque buildup.

With the proper toothbrush, brushing techniques, and regular visits to your dentists, you are on your way to having a perfect, flawless smile. Just remember to regularly brush your teeth – and to brush them for at least two minutes!