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Root canal and pain go hand in hand in many people’s minds. Generally our fears and anxiety stem from others telling us their experiences and not from our own. A root canal (also referred to as RCT or root canal therapy) is a dental procedure where the damaged nerve (also called the pulp) of a tooth is removed. Following removal of the nerve, the canals of the tooth are cleaned and sterilized. Following this cleaning process the canals are filled and sealed permanently to avoid future dental infection. If treatment is not undertaken, the dental infection will affect the tooth along with surrounding oral structures (like gums and bone tissues) and a dental abscess can form in the area as the infection looks to escape.

The reason for the removal of the tooth’s nerve is because these nerves (along with associated blood vessels) is responsible with providing hydration and nutrients to our teeth. They also give us the ability to sense hot and cold.

Surveys year after year find that root canal therapy is considered the most feared of all dental procedures. These surveys also found people’s views on root canal therapy is based on what others have told them and not their own individual experiences. This leads to people believing mostly inaccurate stories about root canals. It is the fear of the unknown as I like to call it.

Is Root Canal Painful Or Can It Be Painless?

A root canal is necessary when the nerve of a tooth develops inflammation or becomes infected. This inflammation or dental infection can develop in a number of different ways:

-Tooth decay that pushes into the area of the nerve or pulp chamber.

-Fracture or chip in the tooth that gives bacteria a pathway to spread into the tooth’s nerve canal.

-Trauma. Traumatic injury to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection is left untreated, it can cause pain or lead to a dental abscess.

A tooth causing pain of this type is irreversible. To save the tooth a root canal must be performed.

Signs and symptoms that a root canal is probably necessary can include pain, extended sensitivity to temperature (either hot or cold or both), tenderness to touch and chewing, discoloration of the tooth, and swelling, drainage and tenderness in the lymph nodes, bone and surrounding gingival tissues. In some cases, no outward dental symptoms are present at all

A root canal usually requires one or more visits to the dentist and can be performed by either a general dentist or a specialist called an endodontist. An endodontist is a dentist who specializes in the causes, diagnosis, prevention, and treatment of diseases and injuries of the human dental pulp or the nerve of the tooth. Your dentist will generally make the call on who should perform the root canal. You will be referred to endodontist if any of the following are needed:

-Degree Of Difficulty. Some teeth have anatomy that is slightly abnormal which makes the canals of the tooth harder to access.

-Re treatment of a previous root canal.

-Patient’s preference.

You and your dentist will discuss who is best suited to complete this root canal for you and make the best, informed decision for your dental treatment.

Root Canal Procedure

Is Root Canal Painful marielaina Perrone DDS Las vegas-Take an X-ray if one has not already been taken. This will give your dentist a chance to evaluate the anatomy and shape of the tooth’s canals. It can also show the presence of a dental infection.

-Anesthetic. Your dentist will use a local anesthetic to numb the surrounding areas to give you pain relief and also allow the procedure to be completed pain free. Some patients do not require any anesthetic but it will make it more comfortable.

-Cleaning Of Tooth Canals. Tiny instruments are used to slowly clean out and debride bacteria, decayed nerve tissues, and bacteria from inside the tooth’s canals. Sterile water, peroxide, or sodium hypochlorite are used periodically to flush away the debris and kill any bacteria present.

-Filling of Canals. Each canal is filled to the end of the tooth with a rubbery compound called gutta percha and permanently sealed. The process essentially is like a cork to prevent bacteria and fluid from re-entering the tooth, and keep it sterile. Many dentists prefer to wait a week or so before sealing the tooth. This will give the inflammation that has developed a chance to decrease back to normal levels. Others prefer to seal the tooth the same day it is cleaned out. If the root canal is not completed on the same day, a temporary filling is placed to keep out contaminants like saliva and food until the next appointment.

Following treatment, your tooth may feel sensitive for a few days to a week. This is especially true if there was pain or dental infection before the procedure. This discomfort can be relieved with over the counter or prescription pain medications or an antibiotic may be necessary if an infection was present. Follow directions given to you very carefully and feel free to ask your dentist questions if an issue comes up.

Your tooth may continue to feel slightly different from your other teeth for some time after your root canal treatment is completed. However, if you have severe pain or pressure or pain that lasts more than a few days, call your dentist immediately.

-Restoration of Tooth. Generally but not always a tooth that needs a root canal often is one that already has a large dental restoration or extensive tooth decay. Even when tooth decay was not a factor, the tooth treated with a root canal is weaker than a “live” tooth. Therefore, a crown, crown and post, or other extensive dental restoration often needs to be placed on the tooth to protect it, prevent it from breaking, and restore it back to full function again. After a completed dental restoration, you will not be able to notice any difference in its function or form or feel. You and your dentist will discuss this need further and make an informed decision together the best course of action for your dental care.

Is A Root Canal Painful Conclusion

A dental root canal is extremely successful with a more than a 95% rate of success. Many teeth with a completed root canal can last a lifetime with no issues.

Most root canals are completed to relieve the pain of toothaches caused by pulpal inflammation or dental infection. With modern advancements in techniques, dental materials, and anesthetics, most patients state that they do not feel any pain once the procedure is underway. Root canal procedures have an undue reputation of being painful. Usually most patients report that the procedure itself is no more painful than having a routine dental restoration placed. The misconception has developed because the majority of the pain stems from the dental infection and pulpal inflammation that has developed. This can be tricky to get good anesthesia but a good dentist will be able to make you comfortable during the procedure.

As noted above, the pain from root canals in modern dentistry is mainly from the dental infection that presents to the dentist and the actual procedure should be pain and worry free. The best defense against developing a toothache and the need for a root canal is to see your dentist regularly, maintain proper oral hygiene, and call your dentist at the earliest signs if you have any pains or discomfort.

 




Dental urgent care is not exactly like it is in medicine. There are not stand alone businesses just to handle a dental emergency. There are however, dental offices in Las Vegas and across America ready and able to handle your dental emergency. What types of issues are considered a dental emergency that you would need dental urgent care? When you experience an abnormal dental issue, sometimes it can be hard to know if it is a true dental emergency in need of dental urgent care. For a general rule dental urgent care is needed if you are experiencing sudden or prolonged extreme pain or profuse bleeding or both, you should seek dental urgent care right away. In some cases where you may be experiencing mild pain you may be able to put off a visit for dental urgent care a few days before visiting your dentist.

Dental Urgent Care Needs

-Broken or Fractured Tooth – This definitely falls in the category when dental urgent care is needed. This type of trauma can become extremely painful in a short amount of time. If the fracture or break causes nerve of the tooth to be exposed just the simple act of breathing will send shock waves through your body. Depending on where the fracture is this can also be considered a cosmetic dentistry emergency. That would be one where the tooth being affected is in a cosmetic area like a front tooth. Unfortunately, broken or fractured teeth cannot be repaired at home and will need immediate attention by dental urgent care. For a tooth in the back of the mouth, your dental urgent care specialist may recommend you place a medicated Marielaina Perrone DDS Dental urgent Carefilling may be placed to cover the exposed nerve and hopefully calm it down until you can come to the office. A product sold over the counter at your local drug store called Dentemp can be mixed and placed by you, to help temporarily cover the hole. Whether or not the tooth can be saved depends on how severe the fracture is. Until you are able to get to dental urgent care, rinse your mouth with warm water, apply a cold compress outside the affected area, and keep the area as clean as possible from debris and foods. You may consider taking an anti-inflammatory medication to keep the swelling down as well as take the edge off the pain before it develops. Aspirin is not suggested to be taken, it will cause difficulties in blood clotting if the tooth needs to be removed at dental urgent care.

-Temperomandibular Joint (TMJ) or Jaw Injury - If you believe you may have broken your jaw, apply a cold compress to the area to maintain swelling to the face and immediately go to dental urgent care or to the hospital emergency room. This type of injury would be beyond simple dental urgent care and the hospital would be the better place. If your jaw has become locked or dislocated, you will need to have the jawbone re-positioned back into your Temperomandibular Joint (TMJ) socket.

-Swelling With Pain. This is most definitely a true dental emergency and you should call your dental urgent care immediately for advice. Swelling in this area is due to a dental infection called an abscess. This can progress very quickly to an infection that affects your entire body and in rare cases can even lead to death. Tips to attempt to relieve some of the pressure include: apply cold compresses to the area, rinse with saltwater, and try to keep your head elevated. Once a dental infection gets to this point, most over the counter medications will not work very effectively in easing the pain. Antibiotics will be required along with drainage of the infection to relieve pressure and build up. This type of dental emergency will require you to be seen by dental urgent care.

-Biting Lip or Tongue w/ excessive bleeding - Accidentally biting your lip, tongue, or other part in your mouth is something that can happen at any time. It is important clean the area and apply a cold compress to help limit swelling to the area. If the bleeding is extensive, or will not stop quickly (a few minutes is a good guide), call dental urgent care or go to the hospital emergency room.

-Loose Tooth - If one of your teeth begins to become loose, see your dental urgent care right away. Your dentist may be able to save the tooth depending on why it has become loose. Until you are able to get to dental urgent care, take tylenol (ibuprofen) or aleve (sodium naproxen) and apply a cold compress to the affected area to relieve any associated pain or discomfort.  If the tooth became loose due to trauma, dental urgent care will most likely recommend splinting the loose tooth (using tooth bonding) to an adjacent tooth or two to allow time for the tooth to re stabilize in the bone. A loose tooth can also be caused by progressive periodontal disease which will develop over a period of years. In the case of periodontal disease causing the loose tooth or teeth, your dental urgent care may not be able to save the tooth and it may be recommended to remove the tooth. A dental implant may placed instead once the area has healed and the periodontal disease has been brought under control. If you have a loose tooth, try to “baby” it…..chew on other side and do not wiggle it with your tongue.

-Pericoronitis. This is a dental infection that generally happens in young adults as your molars erupt into your mouth, a flap of gum tissue will remain over the back of the tooth, becomes irritated and swollen, and can be extremely painful especially upon chewing. If you experience symptoms of pericoronitis, which may include swollen and irritated gums, a bad taste or malodor in your mouth, or you are not able to fully open your mouth, call dental urgent care right away.

-Sudden Onset Toothache. If your tooth begins aching, rinse out your mouth with warm water and gently floss around the tooth to make sure there is nothing lodged between your teeth that could be causing the issue. Call your dental urgent care immediately for an appointment. This could range from simple gum irritation, a full on dental infection.

-Knocked Out Tooth (also called avulsed tooth) - The main tip here is to clean off the tooth immediately to remove any dirt and debris that has gathered when hitting the floor. Do not scrub the tooth clean, just a gentle rinsing is all that is necessary. If the tooth can be re implanted dental urgent care will instruct you to do so. This is may not always possible if there is bleeding and swelling in the area where tooth was displaced. The next best option is to place the tooth in a milk solution. The milk acts as a preservative and can significantly increase the long term chances of a successful re implantation. You should call or see dental urgent care immediately even if you are able to re implant the tooth. The tooth will probably need to be splinted to another tooth (using tooth bonding) while it heals. Dental urgent care will also check that it is in proper alignment with the adjoining teeth. The tooth will also need to be monitored over time to gauge the success of the re implantation as well as any long term affects that might happen due to the trauma. This tooth may still be lost in the future or it may need  further treatment like root canal therapy.

-Lost Dental Filling or Dental Crown or Dental Bridge - Unfortunately, this type of dental emergency can happen at any time even with routine dental care. If your dental crown does come off call dental urgent care immediately for detailed instructions. Most local drug stores sell fixodent, or temporary cement to place it back on until you are able to be seen by dental urgent care. This will limit the chances of the development of tooth decay or tooth sensitivity in the interim. The same can be done for a lost filling, most drug stores sell a temporary filling material (mentioned earlier called dentemp) that can be applied at home. Either way, you will need to seek dental care ASAP to prevent any other damage from occurring to your smile.

-Orthodontic (Braces) Damage - If you believe that you have broken your braces in some way, you should call dental urgent care as soon as possible. In most instances, they will want to see you right away (especially if the break is causing pain or discomfort). But in some cases they may recommend waiting until your next dental appointment.

-Food Or Debris Stuck Between Your Teeth - If food or debris gets lodged between your teeth, try to swish aggressively, then attempt to gently remove it with dental floss. Be careful not to cause trauma to the area by being too aggressive. If the object still will not come free, call dental urgent care for more detailed instructions.

Urgent Dental Care Emergency Kit

The following are items to have ready in the house at all times in case a dental urgent care emergency arises:

-Pain Medication. Includes Motrin or Aleve or Tylenol. Just have something on hand to relieve the pain until you can see dental urgent care for more advanced pain relief. Avoid aspirin as this will inhibit blood clotting and have a possible effect on further dental treatment.

-Gauze or Cotton pads. These will be necessary if there is any bleeding from a traumatic injury or even to have the patient bite down on to relieve some of the pressure from a dental infection. It can also be useful if you have tissue irritation from your orthodontic braces, orthodontic appliance, or removable denture. You can place the cotton or gauze in between the appliance and the sore to relive some of the discomfort.

-Dental Wax. This can be used to cover up areas of irritation like orthodontic brackets or broken orthodontic wires.

-Dental Floss. This can come in handy to remove food debris that gets lodged between teeth and beneath the gums that cause pain and discomfort.

-“Save A Tooth” System. This is ideal for transporting avulsed teeth. This system will give you have a better chance for long term survival once re implanted.

-Generic Teabags. These are helpful for stopping bleeding following oral surgery or even a trauma in the mouth. Research suggests that bags containing tea from the plant camellia sinensis is better than herbal tea for this purpose. Tea bags have also been shown to be soothing if you bite your lip, cheek, or tongue.

-Denture Adhesive. This can be handy even if you do not have a denture wearer in the house. In addition to using it to fix dentures in place, it can also be used to temporarily secure a crown or bridge that has fallen out. Fixodent is a good example of a denture adhesive.

-Dentemp or Temporary Filling Material. This is an excellent material to cover up open holes in teeth until you can see dental urgent care.

-Dental Mirror and Flat Spatula. These can usually be found at any drug store or even online. The dental mirror can be used if the dental urgent care emergency is back in the mouth and the spatula will be useful for using temporary filling material in the mouth.

Marielaina Perrone DDS COlgate Wisps Dental Urgent Care-Instant Ice Packs. Perfect for quick application of cold to maintain swelling from trauma or dental infection.

-Topical Anesthetic. This can give temporary relief for denture sores, gum irritation, cold sores, canker sores, or sores from simply biting your lip, tongue, or cheek.

-Packets of Salt. Salt water helps clean and irrigate out wounds.

-Package of Colgate Wisps. These tools acts as a mini toothbrush as well as a toothpick. These can be very helpful removing foreign objects or debris lodged between your teeth.

-Orabase. A paste used for healing canker sores or sore mouths. Dental urgent care will have a stronger prescription medicine called debacterol as well.

-Dental Urgent Care Contact Information. Most dentists should be able to be reached after hours using an emergency telephone line.

Dental Urgent Care Conclusion

Dental urgent care is a term used for a dental emergency. As we said earlier there are no “dental urgent care” facilities, just call your dentist as soon as a dental emergency arises. The faster you get in front of a dental issue the easier it will be to treat for you and your dental urgent care Las Vegas team. Remember maintaining good dental health is not just about dental urgent care but should include regular dental visits as well!

 



Dental Infections (also referred to as an abscess) generally develops as a result of untreated tooth decay and poor oral hygiene. However, a dental infection can also develop from other reasons previous dental work or traumatic injury. When a dental infection begins to develop, a pocket of pus forms in the mouth as a result of an overwhelming growth of bacteria. Symptoms of a dental infection often includes swelling, pain (often radiating away from area), and sensitivity in the area. It is vital to seek professional treatment as without proper and timely treatment, the dental infection may spread to other areas of the jaw or even the brain.

Tooth decay and cavities are very common. About 90% of adults ages 20–64 have had prior tooth decay. Also, almost 30% of people in the same age group have untreated tooth decay. Treating tooth decay early is important to prevent further complications such as dental infections which can often lead to tooth loss.

Anyone who experiences dental infections should see a dentist immediately to prevent the dental infections from spreading.

One of the initial options for a dentist is to recommend an antibiotic to kill dental infections. Some antibiotics will work better than others. This is due to the type of bacteria causing the actual infection., There may also be some over-the-counter pain medications to help relieve the dental infection symptoms temporarily.

Antibiotic Use For Dental Infections

Dentists generally only recommend antibiotics for dental infections. However, not all infected teeth will require antibiotics during treatment. In some instances, a dentist may be able to drain the infected area of pus, remove the infected tooth, or complete a root canal procedure to fix the issue. Antibiotics should not be used unless absolutely necessary to complete dental infections treatment.

Antibiotic Types And Dosages For Dental Infections

The type and dosage of antibiotic your dentist will recommend will vary depending on the type of bacteria that causes dental infections. Different antibiotics work in different ways to eliminate different strains of bacteria. There are over 150 different strains of bacteria that are present in the oral cavity. Many of these bacteria have the potential to grow and cause a dental infection. Treatment can change depending on the bacteria causing the dental infection, although, dentists simply recommend an antibiotic that works against many types. This gives them the best chance to handle the infection effectively and quickly.

Classes Of Penicillin For Dental Infections

Penicillin type drugs are common forms of antibiotics for dental infections. This includes penicillin and amoxicillin. Some dentists may also recommend amoxicillin with clavulanic acid, as that combination may help eliminate bacteria that are being unsuccessfully treated by previous drugs.

Typical dosages of amoxicillin for a dental infection are either 500 milligrams (mg) every 8 hours or 1,000 mg every 12 hours.

Typical dosages of amoxicillin with clavulanic acid are around 500–2,000 mg every 8 hours or 2,000 mg every 12 hours, depending on the minimum effective dosage.

However, some bacteria have been found to resist these drugs, making them less effective. In fact, many doctors now simply choose a different antibiotic as their 1st line of treatment.

Dentists must also be aware that some people are allergic to these drugs. Anyone who has had an allergic reaction to similar medications should tell their dentist immediately before receiving their treatment recommendation.

-Clindamycin

Clindamycin is highly effective against a wide range of infectious bacteria. Some researchers recommend clindamycin as the drug of choice to treat dental infections, as bacteria may be less likely to resist this drug than penicillin-class drugs.

A typical dosage of clindamycin is either 300 mg or 600 mg every 8 hours, depending on which dosage will be effective for the individual situation.

-Azithromycin

Azithromycin also is able to work against a wide variety of bacteria, working to halt their growth. It may be effective in treating some dental infections, though dentists may only recommend it to people who are allergic to penicillin-class drugs or who do not respond to them or other drugs such as clindamycin.

 The typical dosage of azithromycin is 500 mg every 24 hours for 3 consecutive days.

-Metronidazole

Metronidazole is an antibiotic uses to treat a number of infections by both doctors and dentists. This drug is typically not the 1st choice of treatment.

The dosage for metronidazole is around 500–750 mg every 8 hours.

Time To Begin Feeling Better?

The speed with which each antibiotic takes to work on the dental infection varies depending on many factors. These can include the severity of the infection and how effective the drug is at eliminating the infectious bacteria present.

It is imperative for people to complete a full round of antibiotics, taking all of the prescribed medication exactly how the dentist says to take it. A person may begin to notice their symptoms go away after a couple of doses, completing the full dosage of antibiotics helps prevent the infection from returning or getting stronger.

The majority of acute infections resolve in 3–7 days.

Side effects Of Antibiotics For Dental Infections

While antibiotics are very effective for dental infections they can have some possible side effects. These side effects will vary by antibiotic type and individual. It is important to speak with your dentist regarding possible side effects and what to expect.

Dental Infection Treatments Beyond Antibiotics

Antibiotics may help clear active dental infections, but the tooth will still need work to clear up the root of the dental  infection. Antibiotic treatment is just one part of the treatment.

Typical treatment for dental infection can include one or more of the following procedures:

-draining the abscess

-filling in any cavities

-performing a root canal

-extracting the infected tooth

Natural Remedies For Dental infections

Some over the counter remedies may also help “control” the symptoms of a dental infection. This can include over the counter pain relievers such as ibuprofen (Advil) and acetaminophen (Tylenol) and Sodium naproxen (Alleve).

Other things to try to relive symptoms at home:

-gently rinsing the mouth with warm salt water

-rinsing gently with baking soda and water

-avoiding very hot or very cold foods to prevent temperature sensitivity

-chewing with the opposite side of the mouth

-brushing with a very soft toothbrush around the sensitive area

-avoiding very sharp, hard-to-chew foods that may bump into the sensitive area or become stuck in the teeth

-sleeping with your head elevated to relive pressure

Dental Infections Summary

Antibiotics are not the sole answer to dental infections. They are a part of a larger dental infection treatment. Most if not all dental infections require further dental work by your dentist. This can include a root canal or a tooth extraction.

Prompt dental treatment is important to keep dental infections from spreading and making things more dangerous and painful. Some helpful home remedies mentioned above may help keep inflammation down or ease pain while taking antibiotics and preparing for the recommended dental procedure. maintaining a good oral hygiene regimen, such as brushing and flossing each day and seeing a dentist for regular checkups, may help prevent dental infections and their complications.




Dental implants have changed the way both dentists and patients look at tooth loss. One of the major advantages of dental implants is their longevity. The more traditional treatments like dental bridges generally last anywhere between 10-15 years or so. While dentures can last longer but need constant adjustment. Dental implants with proper care can last a lifetime.

How To Care For Dental Implants?

Dental implants can fail for any number of reasons. The usual culprits can include periodontal disease, poor dental hygiene, and smoking. Dental implants are considered to be a failure if they show any movement at all. This movement can occur when the bone and gum tissues surrounding the dental implant break down.

Listed below are a few simple steps you can do to help protect the stability of your dental implants:

-See Your Dentist Regularly For Routine Examinations And Professional Cleanings.

-Maintain Dental Hygiene. This should include brushing at least twice a day and flossing at least once per day.

-Use An Antibacterial Moutwash. This will diminish the amount of harmful oral bacteria in the mouth.

Factors That Lead To Dental Implant Failure

-Failed Integration of Dental Implants - This occurs when the bone of the jaws does not grow and fuse between the threads of the dental implant. This fusion between the bone and dental implant is called osseointegration. If osseointegration does not occur, the dental implants will become loose, or come out completely. To reduce this risk, your implant dentist will evaluate the quality and quantity of the jaw bone prior to surgery. This will allow the implant dentist to only place dental implants in areas where there is an increased success rate. If osseointegration does not take place, the dental implants can be removed, and implant surgery can be tried again following complete healing of the area.

-Dental Infection (peri-implantitis) –  While rare, this is the most common complication of dental implant surgery. The surrounding bone and gums can get infected during or after the placement of the dental implants. This can happen due to poor surgical technique, a contaminated implant, poor healing ability (diabetic, smoker, osteoporosis medications). The most likely time for this to occur would be during the surgical placement of the dental implant into the bone. Implant infection is a condition referred to as peri-implantitis. Peri-implantitis is characterized by inflammation or swelling of the tissues surrounding the dental implant. Peri-implantitis can also show up as a secondary infection later on. It is a form of periodontal disease that can lead to inflammation, bone loss and implant failure if not treated quickly and properly. Although dental implant infections are usually caused by the presence of bacteria during or immediately after the oral surgery for the placement of the dental implants, an implant infection can occur months or even years after the dental implants are placed.

-Damage To Surrounding Tissues - Dental implant complications related with surgical errors affecting adjacent teeth, nerves or sinus are directly connected to the experience and skills of the implant dentist. An implant dentist with the proper skill and experience is able to identify potential problems by examining x-rays or CT scan (computer tomography), design the proper treatment plan (including ideal location and angle), and execute it properly without complications. Even with the most experienced implant dentist there is always a possibility of dental implant complications. It is important to note that with experience comes an understanding of what can happen. This is important because an experienced implant dentist will be able to easily handle any complications that might come up either at time of surgery or afterwards.

What About The Dental Restorations?

Following placement of your dental implants and proper healing your dentist will place a dental restoration on top of them. These restorations can include dental crowns, dental bridges, and dentures. These restorations will eventually wear down from the constant mechanical forces placed on them through biting and chewing. Fortunately, these dental restorations will last years before needing replacement.

Dental Implants Longevity Conclusion

It is important to note dental implants can be a complex procedure requiring the need for an experienced implant dentist.In order to ensure the best possible outcomes, you should always work with a highly skilled and experienced implant dentist who makes dental implants a primary focus of their practice. With regular dental care maintenance, your dental implants could and should last a lifetime.