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





Smile Design is an individualized treatment plan to improve the overall appearance, feel and most importantly the function of your smile to be one with your unique facial features. Our smiles are unique to each of us. They all have their quirks but for some a change is in order to make us feel more confident about ourselves. An experienced cosmetic dentist can perform what is called a smile design. This will allow your cosmetic dentist to show you what can be done to give you the smile you always dreamed of. Smile design is just planning out the treatment steps necessary to achieve the goal you are looking for.

Treatment For Smile Design

Some of the dental procedures that can help with smile design include:

Porcelain Crowns. This is a type of dental crown that will give the cosmetic appearance most patients are looking for but also give the strength and stability to be functional. Where teeth grinding is a problem your cosmetic dentist will use a specialized dental crown called a Bruxzir crown. When designed properly, a patient will begin to see an immediate improvement in their bite as well in the esthetic appearance in the skin around the face as wrinkles will soften due to a fuller smile.

Marielaina Perrone DDS Cosmetic DentistPorcelain Veneers. Ideal procedure for use in smile design cases. A hallmark treatment of cosmetic dentistry but used in addition to porcelain crowns to lengthen and restore the length of front teeth to their original dimensions. Often called “instant orthodontics” in smile design discussion, porcelain veneers give the dentist the ability to change the alignment of teeth, if the alignment issues are not too extreme.Porcelain veneers are far less invasive and a more conservative treatment than porcelain crowns. For teeth that do not require a full coverage crown, porcelain veneers are an ideal cosmetic dentistry tool to adequately lengthen and reshape, and alter the color of your smile.

Orthodontics. Can be limited or full orthodontics treatment. Comprehensive orthodontic treatment may be necessary to remove any bite issues that can cause added stress or trauma to the teeth before new restorations are placed.

Dental Bonding or Tooth Bonding. May be used to restore any teeth that have been damaged by tooth decay, staining or even wear to the edges. Dental bonding is a cosmetically pleasing option that will look very natural when completed and if designed properly match the rest of your smile.

Facial Asymmetry – In many of us, the muscles of the face may be asymmetrical leading to an imbalanced look to the face which if not properly planned for would give us a deficient smile design. Botox is a new treatment option in smile design for many cosmetic dentists. Botox when used properly in smile design can restore facial symmetry by balancing the facial muscles. Eyebrow lift, or depression of the brow can be enhanced with properly placed botox or dermal fillers (like Juvederm).

Gummy Smile – This is when a person has a smile that shows too much gum tissue. This usually results from 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 appear better balanced.

Crown Lengthening. A dental surgical procedure to expose more tooth structure so that there is enough room to properly place a crown. This is often necessary in patients with severe teeth grinding issues. This is an example where a good smile design will foresee these issues in advance.

Gum Tissue and Bone Grafting and Recontouring. Lost bone and gum tissue can often times be grafted to help regrow them. They can also be reshaped surgically to be healthier, easier to keep clean, and more cosmetically appealing.

Teeth Whitening. Many of our worn teeth are also dark and discolored. The color you desire to reach may require a dental whitening process, or simply a whiter color bonding restoration or a whiter colored porcelain restoration.

Smile Design Las Vegas Conclusion

Smile design is just a fancy term for planning out treatment in advance to achieve the goals the patient has in mind. This takes effort and communication of all aspects of your dental team not only the dentist. A poor smile design will leave poor results but a well planned smile design can give you the smile you always dreamed of and more!”,





Dental Bridges are fabricated out of 2 or more dental crowns covering teeth on either side of the missing tooth (there will be a gap present). Dental bridges literally just bridge the gap created my at least one missing tooth but can be multiple missing teeth the dental bridge is replacing.

Bridges are made up of 2 or more dental crowns for the teeth on either side of the space . These 2 or more anchoring crowns are referred to as anchoring abutments. A false tooth or teeth is located in between. These false teeth are referred to as dental pontics and can be fabricated from gold, alloys, porcelain, or a combination of any of these dental materials. Dental bridges can supported by either natural teeth or dental implants.

Benefits Of Dental Bridges

Dental Bridges can do the following for you:

-Restore your smile to its fullest potential by replacing lost teeth

-Restore your ability to properly chew and speak

-Maintain and restore the shape of your face

-Allow for even distribution of the forces in your bite properly by replacing missing teeth

-Prevent remaining teeth from drifting out of position. If this happens more damage can occur as your bite changes

Types of Dental Bridges Available

Traditional dental bridges involve fabricating a dental crown for the tooth or implant on either side of the missing tooth, with a dental pontic in between. Traditional dental bridges are easily the most common type of dental bridge and are made of either porcelain fused to metal(PFM) or ceramics.

Cantilever dental bridges are prescribed when there are adjacent teeth on only one side of the missing tooth or teeth. This is not a very common with the addition of dental implants to a dentists arsenal and is not recommended in the back of the mouth where the forces can cause damage to the dental bridge as well as surrounding teeth.

Maryland bonded dental bridges (also referred to as a dental resin bonded bridges) can be made of porcelain, porcelain fused to metal(PFM), or plastic resin teeth and gums supported by a metal or porcelain framework. Metal or porcelain wings often on just one side of the bridge are bonded to your existing teeth.

Dental Implant Supported Bridge – implant supported dental bridges can be used when you have more than one tooth missing. Instead of being supported by dental crowns or metal frameworks, this type of dental bridge is supported by dental implants. Generally, 1 (one) dental implant is placed for every missing tooth, and this series of dental implants holds the bridge in place. However, the bridge may consist of a pontic suspended between two implant-supported crowns if placing one implant for every lost tooth is not possible.

Marielaina Perrone DDS Dental Bridges

Office Visits For A Dental Bridge

During the initial visit to your dentist for getting a dental bridge, the abutment teeth are prepared to accept a dental crown. The preparation involves re-contouring these teeth by removing a portion of enamel to allow room for a crown to be placed over them. Next, dental impressions of the teeth are made, which give the lab technician a model from which the bridge, pontic, and crowns will be made. Your dentist will fabricate a temporary bridge for you to wear to protect the exposed teeth and gums while the bridge is being made.

During the second visit, your temporary bridge will be removed, the temporary cement will be cleaned off the teeth, and the new porcelain or metal bridge will be checked and adjusted, as necessary, to achieve an ideal fit. Multiple visits may be required to check the fit of the metal framework and bite. This is dependent on each individual’s case as metal can distort as well as teeth moving ever so slightly. If the fit is acceptable to the dentist, the dental bridge will then be cemented in place.

Dental Bridges Cost

The overall cost of a dental bridge varies depending on the type of bridge selected and the materials used by your dentist. Dental insurance, if you have it, will typically pay a percentage of the fee for your dental bridge depending on the individual dental plan.

How Long Will My Dental Bridge Last?

Dental bridges can last five to 15 years and sometimes even longer. With a good oral hygiene regimen as well as regular dental checkups, it is not unusual for dental bridges to be still going strong after 10 years. It will depend on each individual in the end.

Eating With Dental Bridges

Eating should be easier once the dental bridge is in place. This is because you will no longer have a gap for food to get trapped into.

Caring For Dental Bridges

Following a good oral hygiene regimen of brushing, flossing, and rinsing along with regular dental examinations with dental cleanings is all you will need to do. The better dental hygiene you maintain the better chance of that dental bridge lasting a long time. Flossing will be more of a challenge as you need to thread the floss under the bridge to keep it clean. Your dentist will recommend floss threaders to use. This will allow you to get under the bridge and properly keep it clean and healthy.

Dental Bridges Conclusion

Your dentist can close the gaps in your smile with one of the 4 types dental bridges to restore your smile. With so many types of dental bridges available, you can feel confident that your dentist has an appropriate solution for your missing teeth.




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.

Conclusion

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.




Dental implants are routinely used throughout dentistry and have become mainstream for many patients. In the past, patients were presented other options…go without a tooth or teeth, wear a removable denture, or have a cementable bridge made.Dental implants have allowed for a great additional option which does not cut down existing teeth, and is strong and unmovable. Unfortunately, many of us forget that dental implants need to be cared for and maintained just like  natural teeth.

What Are Dental Implants?

Dental implants are an artificial tooth root (usually made of titanium) that a periodontist or oral surgeon places into your jaw to support restorations that resemble a tooth or group of teeth. Dental implants can replace a single tooth, support  a bridge, or support a denture (making it more comfortable and secure).

Dental implants are an ideal option for people in generally good oral health who have lost a tooth or teeth due to periodontal disease, injury, fracture or decay. Dental implants are actually more tooth saving than traditional crowns and bridges, since dental implants do not cut down healthy teeth or rely on adjacent teeth for support.

Sufficient bone, and good overall health will give you the best prognosis for ideal oseointegration, (the way bone fills in around the implant for strength). Dental implants are intimately connected with the underlying bone and gum tissues in the mouth. So, proper fit, good occlusion, and excellent oral hygiene are necessary for long term success. With technique and material advances, dental bone grafts are now more successful than ever and can be used to augment your natural bone. Periodontal disease, diabetes, bleeding problems, etc. can cause difficulty in placement, healing and longevity of the dental implants. Be upfront with your dentist regarding health issues so that the proper steps can be taken to give you the highest chance of success. There is an increased risk of failure in patients who are smokers. For this reason, dental implants are frequently placed only after a patient has stopped smoking.

Top Tips For Caring For Your Dental Implants

Toothbrushing. Usual toothbrushing applies. It is recommended that you brush twice a day but it is even more beneficial to brush after every meal if that is possible.

Flossing. Yes, flossing is important even with dental implants. Flossing is able to clean around the dental implants along the gum line. Just because the dental implants cannot get tooth decay it does not mean you cannot lose them. Bone loss is still possible around the dental implants which can lead to their loss.

Dental Implants Marielaina Perrone DDSMaintain Regular Dental Visits.  Dental implants should be cleaned with different types of dental instruments as not to scratch the surface. They should again not be cleaned with ultrasonic or vibrating dental instruments of any kind. It is important to examine the dental implants at least once per year along with your regular professional cleaning schedule. Your dentist will evaluate the bone levels along with the soft tissues and occlusion. The important takeaway here is to have frequent examinations to catch any issues that might arise early enough so proper corrections can take place.

Use A WaterPik. A great way to clean around dental implants is to use WaterPik.  The WaterPik is a water spray that cleans in between and around the teeth. But keep in mind again too much pressure may cause damage to the pocket so keep it at the lowest level possible. Recent studies have shown the WaterPik to remove up to 145% more debris than regular dental floss alone. Periogen in the waterpik can help remove tartar buildup around implants making it easier to keep them clean.

Do Not Smoke. Smoking has been known to decrease oxygen flow to the gum tissues. This results in delayed healing, deterioration of the oral tissues, and bone loss. Bone loss and inflammation will cause your implant to loosen and fall out. If you want to protect your investment, do not smoke.

Avoid Extremely Hot Liquids. Dental implants are made of metal and metal has ability to retain heat more readily than our oral tissues. If you drink extremely hot liquids, the metal of the dental implant  may heat up from the liquid and stay hot. The heat may cause a burning of a thin layer of cells around the implant. With repeated small damages this may cause inflammation around the implant. This is not backed by research, but is worth mentioning.

Caring For Dental Implants Conclusion

Just like your natural teeth, dental implants should be maintained if you wish to keep them. With proper maintenance, both at home and at the dentist 89052, dental implants can last a lifetime. Dental implants can strengthen, and enhance your smile for years to come.