Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

Teeth Whitening is a common procedure in general dentistry but especially so in the field of cosmetic dentistry. There are different types of teeth whitening including in

Internal Bleaching Marielaina Perrone DDS

Internal Bleaching Can Make You Smile Again!

office and at home options like the use of teeth whitening strips. But did you know there was a procedure available to perform a deeper teeth whitening from the inside of the tooth out? This procedure is commonly known as internal teeth whitening or internal bleachingInternal bleaching is used to lighten a discolored tooth that has had root canal treatment.

Internal bleaching is a more conservative option compared to restoration with veneers or crowns, but is sometimes used to lighten teeth before the application of these techniques to prevent the discoloration of the natural tooth from showing through. In addition, porcelain veneers or crowns may be required not only to achieve improved color, but also to strengthen a root canal treated tooth.

How is Internal Bleaching Performed?

Internal bleaching is a dentistry technique that is used to lighten the color or whiten the appearance of a tooth or teeth. Internal bleaching is only to be done under the direct supervision of a dentist. This is because the procedure involves inserting a chemical oxidizing agent directly into the tooth.

Internal Bleaching Before Marielaina Perrone DDS

Internal Bleaching Before

The internal bleaching procedure is performed on a non vital tooth that has received root canal treatment. The root canal treatment could have been the result of infection or dental trauma. Whatever the reason, the tooth in question did not require a crown and has maintained its natural tooth structure. When a tooth dies or becomes non vital it loses the blood and nutrient flow to it. This sometimes results in a changing of tooth color to a darker shade than the surrounding teeth.

Following completion of root canal treatment, the dentist will place a chemical oxidizing agent into the chamber of the tooth and leave it there for about 2 weeks time. This process can be done a few times over that 2-3 week period until the tooth achieves the level of whiteness desired by dentist and patient. Once the color is correct, the opening is sealed closed with a white tooth colored composite filling to keep out foreign matter and bacteria that could cause further problems.

Internal Bleaching After Marielaina Perrone DDS

Internal Bleaching After

Internal bleaching may be used by itself for whitening teeth or  in combination with exterior teeth whitening products.  Your dentist will evaluate the current condition of the teeth and determine if it is necessary to make use of two different kinds of teeth whitening procedures at the same time. When it is decided to use both products at the same time, the dentist will choose two products that are compatible to one another so that they do not interact poorly with one another. If chosen incorrectly, the interaction between the two bleaching products could ultimately damage the teeth they are designed to treat.

How well does Internal Bleaching work?

Internal bleaching is very effective for whitening teeth that have been damaged by trauma or infection. The process allows the dentist to focus on one tooth to raise its level of whiteness back to the level of the other teeth to give a more natural appearance overall.

Internal Bleaching Conclusion

Anyone who has had a tooth turn color after receiving root canal treatment can understand the difference between natural, undamaged, tooth structure, and dark, non-vital, tooth discoloration. While internal bleaching is very specific in it’s applications, it is an easy choice for someone with a dark front tooth. Internal bleaching is a great tool for cosmetic dentists to restore one or more teeth back to their natural white condition. It is a fairly simple procedure with great reward. If you have a tooth that does not whiten as all the others do, ask your dentist about internal whitening, and see if this is an option for you.

Do you have a missing tooth (or teeth) that need to be replaced? Throughout our lives, teeth can be lost for a variety reasons. They can be lost from tooth decay, periodontal disease, nutritional neglect, and accidents. Missing teeth can compromise your eating habits, speech, health, and appearance. The loss of a front tooth can negatively affect the appearance of your smile, your speech, and your self confidence. Losing a tooth in the back of your mouth can lead to a number of issues affecting your ability to chew, your ability to properly clean your teeth, jaw collapse, teeth shifting, and the health of your remaining teeth. Replacing a lost tooth will prevent further destruction and help save your remaining teeth. Replacing lost teeth can save you time, money, keep you healthier,and prevent many other oral difficulties in the future.

The loss of a single tooth can start a devastating chain reaction of events. After a back molar tooth is lost, a series of destructive events occurs including the displacement and tilting of other teeth around it including a supra eruption (when a tooth continues to grow into the mouth because it is not being kept in place by it’s opposing tooth) of the tooth above it, decay, drifting and formation of periodontal pockets. Eventually, bone loss and periodontal disease, to the teeth surrounding the lost tooth, tend to cause further destruction. If you fail to replace a lost back tooth, you may cause the loss of other teeth.

What Can Happen If Lost Teeth Are Not Replaced?

-Shifting of Teeth - When a tooth is lost, for whatever reason, the surrounding teeth will begin to drift into the open space. This includes both adjacent teeth as well as teeth in the other arch. A once straight smile can quickly turn into a crooked one. Replacing a lost tooth sooner, rather than later, can prevent this from happening As the number of lost teeth increases, the further the damage to the overall eveness of the bite  and, making it harder to replace later on. The altered position of teeth causes the forces to be applied incorrectly while chewing, making fractures and bone loss much more likely. The incorrect forces also cause wear which can result in loss of tooth height and subsequent facial changes.

-Temperomandibular Joint Issues (TMJ Disorder) - As your teeth shift out of their normal alignment, bite issues usually develop. When the upper and lower teeth do not meet properly, it can strain and eventually damge the TMJ. This can lead to head, jaw, and ear pain, headaches, dislocations, clicking and popping, as well as permanent damage to the joint.

-Periodontal Disease - When teeth begin to shift, it makes it that much harder to keep your teeth clean. It will be harder to brush and floss certain areas which have, essentially, created a trap for plaque and food debris to build up. When plaque and bacteria are not removed and allowed to build up the result can be tooth decay and periodontal disease. When teeth shift and drift, they oftentimes create a root exposure problem, and allow forces to move them in unnatural ways. This can loosen teeth, and make them very sensitive. Periodontal disease can lead to further tooth loss.

Options For Replacing Missing Teeth

Patients have multiple options when teeth are lost. They can include fixed ( permanent and not removable) or removable options. These procedures can include:

-Removable Dentures - This option has been the longstanding traditional option when multiple teeth are missing. Removable dentures are often the fastest and least expensive alternative in the short term. There are some disadvantages to removable dentures. Removable dentures work by attaching to exisiting teeth. This often leads to these “anchor” teeth becoming loose, worn, decayed, or broken. There can also be bone loss under the denture, which over time will make the denture more and more mobile and uncomfortable. Removable dentures can also be inconvenient to clean after eating especially if out at a restaurant. Lastly, removable dentures have about 1/3 the chewing power and efficiency of natural teeth. This can lead to poor chewing and lack of good nutrition in one’s diet.

-Fixed Bridge - This entails cutting down surrounding teeth, and fitting them with fused crowns to replace any missing teeth. The most popular type of fixed bridge is called a 3 unit bridge. This means that the two natural teeth adjacent to the missing tooth serve as anchors. This is a very stable option but does also have disadvantages. Disadvantages include:

-Removal of good tooth structure from adjacent teeth.

-Difficulty maintaining good dental hygiene under bridges as normal flossing is not possible

-Long term prognosis of most dental bridges in between 8-10 years before it needs replacing. This is an average. Some bridges can and will last longer.

-Dental Implants – Dental implants are the largest initial investment, but most cost effective long term solution for replacement of missing teeth available today. The main disadvantage to dental implants is the time it takes to be completed. Following placement of the dental implant a 4-6 month healing time is generally needed before the tooth can be restored. Dental implants are the ideal solution for many tooth replacements in dentistry today.

-All on Four Dentures - When many or all  teeth are lost, or if you are rapidly progressing to full mouth breakdown, This dental implant/denture option is an excellent choice. The best thing about this procedure is that you have your entire procedure done and walk out with teeth the same day. There are usually 4 dental implants placed and a titanium bar supported denture placed. It is screwed down, but can be removed if needed. The biggest negatives here are price, and post operative possibility of bruising and discomfort while healing.

Tooth Replacement Conclusion

Tooth loss can happen at any time to anyone. Losing a tooth due to a trauma, disease, habits, etc. can be a big problem for a variety of reasons. If not replaced, they can cause issues for you including bone loss, periodontal disease, and more tooth loss. Replacing lost teeth as soon as possible will save you discomfort and greater expense in the future. Knowing your options, and being informed can help you and your dentist come up with the best treatment options for you. Remember, sooner is better than later, but know that whenever you are ready to move forward with tooth replacements there will always be options!

Smiling Facts

It’s a simple fact. A smile does much more than express happiness. We usually think about smiling when trying to give our best appearance for others, job interviews, performances, etc. We also smile when we find something funny, or are about to laugh. In general, we don’t give our smiles much thought, they just happen. We also don’t give our smiles the credit they deserve. There have been numerous research studies on smiling and laughter, and the effects that they have on others and ourselves.

Here are a few facts you may not have been aware of :

1. Smiles Are Contagious. Research has shown that people have trouble frowning or being sad when looking at others who are smiling. We tend to smile unconsciously while watching others smile. A smiling person walks into a room and brings happiness with them. Smile a lot and you will draw people to you.

2. Smiling Can Be A Stress Reliever. Endorphins are released immediately upon smiling. Even a forced smile has the same effect on our bodies. The endorphin release will change your mood allowing stress to be relieved. Stress can really show on our faces. Smiling helps to prevent us from looking tired, worn down, and overwhelmed. When you are stressed, take time to put on a smile. The stress should be reduced and you’ll be better able to take action.

3. The Ability to Smile is with us at Birth. many of our behaviors are learned behaviors from our surroundings, but scientists believe that all babies are born with the ability to smile. Even babies with disabilities are able to smile at birth.

4. Smiling is an Immune System Booster. Smiling has a definite physical effect on our bodies. Smiling causes us to feel more relaxed which in turn equals a healthier, stronger body. Fight the flu and colds with smiles.

5. Smiling is Easier Than Frowning. It is a proven fact that your body has to expend more energy frowning than it does smiling. More muscles are used when frowning than smiling.

6. Women Smile More Than Men. Women smile at a higher percentage than men. They are also known to make better eye contact with people.

7. There are 19 Different Types of Smiles. Researchers have identified 19 distinct types of smiles and placed them into 2 categories: Polite and Sincere smiles. Polite smiles use fewer muscles whereas sincere smiles use more muscles.

8. Smiles are more Attractive than Makeup. Studies show that almost 70% of people find women more attractive when they smile than when they are wearing makeup.

9. Smiling can use up to 53 muscles. 

10. Smiling is a Universal Sign of Happiness. While hand shakes, hugs, and bows all have varying meanings across cultures, smiling is known around the world and in all cultures as a sign of happiness and acceptance.

11. It is the first attribute people notice in others. A smile is the first thing someone will notice about you. It sends a message which makes you more likeable, accessible, valued, and more likely to succeed in the work force and in relationships. A smile leaves a lasting impression on others.

Smiling Conclusion

The universal symbol of happiness is a smile. A smile can change the world for you, and all those around you. There are plenty of reasons to smile, usually without thought or planning, but with just a bit of effort, smiling can become a great new habit for you. Remember the positive nature of a smile,  everything looks brighter from behind a smile. Smile….pass it on!!

Cosmetic Dentistry has evolved over the years to allow dentists to give patients what they crave…..A beautiful long lasting smile that changes their life. In the past, dentists could do minor changes to a person’s smile or more drastic ones using orthodontics. Today, modern cosmetic dentistry techniques and materials allow drastic changes as well as minor ones that can alter a patient’s smile for the better.

Do you believe having a great looking smile can improve your appearance and enhance your social life?

In a recent poll by the American Academy of Cosmetic Dentistry (AACD) revealed that about 96% of those surveyed agreed that it can. In the same study about 65% of the participants said they were unhappy with one or more aspects of their smiles. Cosmetic dentistry has the ability to change that.

Cosmetic Dentistry Procedures

Cosmetic Dentistry procedures come in all sizes from a one office visit for teeth whitening to a multiple visit complete smile makeover. Let’s take a look at some of the most sought after cosmetic dentistry procedures…

-Teeth Contouring. This might be one of the simplest and easiest cosmetic dentistry procedures of all. It is generally done without 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. Evening out gum levels can help teeth to look more evenly sized and can make short teeth appear longer.

-Teeth Whitening. In the United States, teeth whitening is the most common cosmetic dentistry procedure performed by dentists. It has been proven by research time and again that people find a whiter smile to be more attractive.  People tend to feel better about themselves when they are happy with their appearance. The teeth whitening procedure can be done at home or in the office. Either procedure is generally very successful, and can give patients a dramatic change to their smile with minimal cost and time invested.

-Dental Bonding. While dental bonding is also used to restore teeth damaged by tooth decay it can also be used as a composite veneer to change color or shape, fix chipped teeth, or close small gaps in your smile. Dental bonding is the process in which tooth colored dental materials are bonded to a tooth. This procedure is also a quicker fix and can usually be completed in a single visit easily altering your smile in as little as an hour.

-Replacing old silver restorations. Many of us have a few silver fillings. Replacing silver fillings with new white fillings or porcelain onlays can make your whole smile brighter.

-Porcelain Veneers and Porcelain Crowns. Our smiles are constantly changing over time with wear. Teeth can get worn down, can shift, or maybe you were born with an imperfect smile. Porcelain veneers and porcelain crowns can be a great way to replace lost tooth structure and alter imperfect teeth. These cosmetic dentistry procedures tend to require multiple visits but the results will give you a beautiful smile. Porcelain

Veneers are custom made, ultra thin, tooth colored shells that are adhesively bonded to the teeth. This allows the cosmetic dentist to not only alter color of your teeth, but shape and length as well. Porcelain veneers are sometimes called instant orthodontics. This is because porcelain veneers can change the alignment of teeth if the alignment issues are not too extreme. Porcelain crowns can be used on teeth that either already have crowns or need more extensive work (having large restorations or tooth decay). Both porcelain veneers and porcelain crowns can as used in cosmetic dentistry to give the patient a flawless, more youthful and sexy smile.

-Dental Implants. These are the newest addition to cosmetic dentistry. Dental implants allow cosmetic dentists another option in tooth replacement. Whether it is a singleCosmetic Dentistry Marielaina Perrone DDS tooth or a full mouth restoration, dental implants can fill that need. Missing teeth 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 use our teeth 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.

Cosmetic Dentistry Conclusion

Cosmetic Dentistry gives the dentist the ability to give patients the smiles they have always dreamed of. Not everyone wants a complete Hollywood style smile makeover and just want minor issues fixed that have always bothered them. Modern cosmetic dentistry allows for both minor fixes as well as extreme ones. Whichever cosmetic dentistry procedure you choose, please be sure that you keep your teeth healthy by visiting your dentist regularly for dental examinations and professional cleanings.