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.

Call Today For Consultation!

Email Us
Directions




BOTOX or Botulinum toxin (BoNT-A), has been used for quite some time as a cosmetic tool 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 botox 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. Excessive 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 dental 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. For many patients an over active mentalis muscle is often the cause of relapse of the teeth and may cause spasm of the muscles. Botox gives your cosmetic dentist 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 unknown pain and discomfort for many patients. Migraines routinely have multiple symptoms beyond just a simple headache. These symptoms can include nausea, dizziness, and even sensitivity to light. The use of Botox can give relief to 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 in the head and neck. This can also relieve severe headaches in the forehead region, if you suffer from them frequently. This can be quite expensive but for those suffering it can be well worth the cost to feel relief from extensive pain.

-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).

Botox Marielaina Perrone DDS-Facial Asymmetry – For many patients, the muscles of the face may be asymmetrical leading to an imbalanced look to the face. Botox has the ability to restore that symmetry by re balancing the facial muscles. Eyebrow lift, or depression of the brow can be enhanced with properly placed botox injections.

-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 upon smiling. Botox injections into the upper lip weakens the retractor muscles of the upper lip so that it will not raise as high and your smile will appear 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, as well as piece of mind. Not having to worry about accidentally setting off the facial pain can give you you control of you life again.

Botox and Dentistry Conclusion

As with any botox las vegas application, training is critical. The dentist placing the injections should be well trained with extensive classroom and patient hours. This will give you confidence that your dentist is well versed in not only a person’s anatomy but also in correct dosing regimen of the botox for the problem at hand. Too little and there will be no relief from symptoms while too much botox can lead to disabling effects. Botox gives patients and exceptional dentists new possible treatments that can lead to better lives for all of us.

Dentistry And Botox
5.0 out of 5.0
based on 24 reviews




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.





Porcelain veneers are a very popular and attractive cosmetic dentistry procedure for many people around the world. Probably many more are interested but uncertain what the dental procedure entails for their smile to be improved and enhanced. Below you will find some of the most commonly asked questions regarding porcelain veneers.

What Are Porcelain Veneers?

Porcelain veneers are custom made wafer thin pieces of porcelain. Porcelain veneers are bonded to the front of your teeth giving the dentist the ability to change the color, shape, length, and size of your teeth. Porcelain veneers reflect light in a very natural way. For many, porcelain veneers are performed in multiples usually the front 2- 8 teeth. Some might only require one to correct a flawed tooth.

Who Is A Good Candidate For Porcelain Veneers?

Porcelain veneers are used to correct cosmetic issues with a person’s smile and made with a translucency that mimics natural teeth. Porcelain veneers are sometimes referred to as “instant orthodontics” for their ability to correct mildly crooked or small teeth. They also have the ability to close spaces between teeth (also called diastemas),restore chipped teeth, or even to change the color of teeth.

Many people are good candidates for porcelain veneers, however, patients with tooth decay, periodontal disease, heavy clenching, or severe misalignment of teeth are usually not good candidates.  Patients with a history of bruxism (tooth grinding) may end up cracking their veneers, although if you only grind at night you can wear a mouth guard to protect the porcelain veneers.

What Happens During The Porcelain Veneers Procedure?

Once you have decided that you want porcelain veneers your dentist will take study models of your teeth. The reason for this is that your dentist will be able to give you a mock up of what your teeth can look like when the porcelain veneers are in place. At this time you and your dentist can discuss the size, shape, and color of your new porcelain veneers. Once these models are approved, an appointment can be set up for the actual procedure. A small amount of tooth structure is usually removed from each teeth to prepare them but sometimes they can be done without preparation to the tooth. Local anesthesia is generally recommended if there will be tooth preparation to avoid any discomfort. Once the preparation of your teeth is completed, your dentist will take an impression of your teeth. This impression will be used by the dental laboratory to create your custom porcelain veneers. Once fabricated, you will return to have the porcelain veneers placed onto your teeth. Initially your dentist will place the veneers  to check that the color, shape, and size is as desired. If they meet both your expectations, the dentist will bond them to your teeth creating your new smile.

How Do I Care For My Porcelain Veneers?

Dental hygiene visits should continue as usual. Home care is more important than ever, brushing and flossing will help prevent decay around your veneers. Porcelain veneers are quite strong but it is possible to break or fracture them. The following activities should be avoided: breaking nuts with teeth, tearing open packages, biting and tearing it hard items, and ice chewing. A soft electric toothbrush such as a rotodent could be helpful in polishing them and keeping looking like new.

How Long Do Porcelain Veneers Last?

The longevity of porcelain veneers will vary by individual. The general rule is they last about 10-15 years although some can expect a longer lifespan for them. If a porcelain veneer chips, cracks, or shows any wear they can be replaced refreshing your smile.

Can I Stain My Porcelain Veneers By Drinking Wine?

No, porcelain veneers are resistant to coffee, tea, and wine stains. Once a patient selects their desired color, the veneers will stay this way, without color changes .

Are Porcelain Veneers Expensive?

Cost will vary depending upon where you go. The cost is generally reflective of the materials and lab used. Be wary of offices where the price seems too good to be true. You get what you pay for and using an inferior dental laboratory or an inexperienced cosmetic dentist might lower the cost but will lead to earlier failure of the porcelain veneers. Studies have shown that almost half of all cosmetic dentistry needs to be redone. Porcelain veneers require high quality dental materials as well as an experienced cosmetic dentist. If done properly you will enjoy your new smile for a long time.

Are Porcelain Veneers Covered By My Dental Insurance?

Generally, no, as porcelain veneers are considered a cosmetic procedure. Most insurance companies do not cover porcelain veneers.

Conclusion

Porcelain veneers can transform an ordinary smile to an extraordinary one. The information above should give everyone some information on what to expect if they are considering making changes to their smile. As always maintain regular dental examinations and professional cleanings to maintain your current and future smile.




A happy, healthy smile is the universal language we all share around the globe.  Having a smile you are happy with allows you to give off an air of self confidence and self esteem. This makes you feel more attractive to others and appear more successful. According to recent surveys, about 1/3rd of all Americans are unhappy with their smile. Luckily, for most of us this situation is easily correctable with some simple and some more involved cosmetic dentistry procedures.

Easy Cosmetic Dentistry Fixes For That Perfect Smile

For many of us, the imperfections that bother us can be quite small and easily correctable with cosmetic dentistry. These simple cosmetic dentistry procedures can include:

-Teeth Whitening. This is the most popular cosmetic dentistry procedure in the U.S. and the world. It can dramatically alter ones smile and also ones perception of themselves. Teeth whitening can be achieved in a variety of ways with varying results. One of the most popular ways to whiten is, the use of teeth whitening strips. These strips can give your smile a brighter look for very little cost but they do not work for everyone, and may not get your teeth as white as you’d hoped.  The dentist can offer an at home teeth whitening kit or a one hour procedure in office. Professional whitening is very effective but comes at a higher financial cost. Professional whitening procedures can whiten your smile by as much as 4-6 shades in as little as an hour.

-Dental Bonding. While a bit more extensive than teeth whitening. Dental bonding can usually be completed in under an hour and give a dramatic effect if one or more teeth are affected by tooth decay or fractures. A good cosmetic dentist will be able to make the dental bonding appear natural and no one should be able to tell you have any dental bonding present. This has been a staple of cosmetic dentistry for many years.

-Tooth and Gum Recontouring. Many people are unhappy with one or two teeth which may be out of alignment. The dentist can recontour one or more teeth to give them the look of being more in line with one another. Uneven gums can also make teeth appear to be longer or shorter.  You would be amazed at how simple it is to reshape and contour teeth and gums to give a beautiful appearance. Recontouring is often overlooked by patients and by many general dentists. A good cosmetic dentist will look at the teeth and face as one big picture allowing them to make adjustments in the big scope of things.

-Snap-On Smile. This is a fairly recent advancement in cosmetic dentistry. It allows for a prosthetic to be fabricated that fits over the existing teeth. This procedure requires little to no tooth preparation and can be a cost effective option. This procedure is far less expensive than permanent changes to teeth, and can be completed in just a short time. Snap on Smile patients are happy to leave with  the smile they wanted at reduced cost and chair time.

More Complex Cosmetic Dentistry Fixes For An Imperfect Smile

-Porcelain Veneers. When you see an “A” list celebrity in magazines or in movies, chances are they have had porcelain veneers placed on their front teeth.Porcelain veneers are wafer thin custom fabricated shells made of modern dental porcelain that are adhered to the outer surface of your natural teeth.  Porcelain veneers are also referred to as “instant orthodontics”. This is because the cosmetic dentist is able to change the shape, width, length, and alignment of your teeth. In extreme cases of misalignment, your cosmetic dentist may recommend a porcelain crown or orthodontics prior to doing porcelain veneers.  When completed properly, no one but you and your dentist should know that you have porcelain veneers.

-Orthodontics. This is not just for kids any more. Adults are often turning to orthodontics to get the smile they dream of. Having straight teeth helps in chewing function, decreases wear and fracture, and has the benefit of being cosmetic. Straight teeth are beneficial for optimum hygiene,  it allows you to be able to clean your teeth more effectively since you will not trap as much food particles when they are properly spaced.

-Dental Implants. Many do not consider dental implants to be a part of cosmetic dentistry but they play a very big role in modern dentistry. Replacing a lost tooth will not only improve function but will also return your smile to its original form. A lost tooth, to many, is a sign of old age, poor hygiene, and low dental priority. Having a full complement of teeth can give someone a youthful, healthy looking appearance.

-Periodontal Plastic Surgery. Many of us have a smile that shows too much gums or might have some areas with receding gums. This can be corrected with surgical addition of or removal of  gingival tissues to the areas of concern.

Cosmetic Dentistry Conclusion

It is so important to feel good about smiling. There are so many options to help with most of your dental concerns. Cosmetic dentistry has come a long way over the last 10-15 years, making the procedures more affordable to many. Choosing a good cosmetic dentist along with the use of high quality modern dental materials you can assure yourself of getting the smile you have always dreamed of. A good cosmetic dentist will be able to advise you of what cosmetic dentistry procedures would be best for you to fulfill your wants and desires.  You can achieve your perfect smile, and confidently show it off to the world!