Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

There was a time when it was expected to lose your smile as you got older. With advancements in dental education and dental technology over the last few decades, many of us now expect to have our smiles for a lifetime. Unfortunately, our dental health is constantly under attack from trauma, tooth decay, periodontal disease, and our own daily habits. A few simple tips can go a long way to keeping your smile intact for decades to come.

How To Keep Your Full Smile?

-Floss Regularly. This is such a simple task, but for many, seems to be a real chore. Regular flossing will help prevent the development of periodontal disease as well as ward off tooth decay. It is recommended to floss at least once per day, generally before bedtime.

-Brush Regularly. Another simple tip but many people rush through their brushing or do not do it often enough. It is recommended to brush at least twice a day for a minimum of 2 minutes each time. Use a soft toothbrush, preferably an electric toothbrush which is more efficient.

-Maintain Regular Dental Visits. A 6 month dental examination and professional cleanings every 3-6 months are highly recommended. This will not only help keep your teeth clean and decrease risks of periodontal issues but it can also catch developing issues before they arise into something bigger. These visits are also a great time for dental education if you have any questions or the dental team notices you are not doing something properly.

-Be Proactive. It is important to note when you have a dental issue between dental visits. If something has changed or there is discomfort or sensitivity, contact your dentist. Having a problem evaluated in its earliest stages will usually save you time, money, and discomfort down the road.

-Check Your Diet. Our diet (including both food and drink) have a significant impact on our dental health. Drinks high in in sugar or acids should be avoided as they can lead to tooth decay and tooth enamel erosion.

-Rinse Or Chew Gum After Meals. If you are unable to brush after eating, a good habit is to rinse with water or chew sugar free gum. The water can wash away loose debris as well as neutralize any acid build up in the mouth. The gum chewing will increase salivary flow which will naturally wash away harmful oral bacteria and neutralize acid.

-Protect Your Smile. Participating in sports like football or skateboarding can be hazardous to our teeth due to possible trauma. A well fitting mouthguard can protect our teeth from damage during these activities. You should also protect your teeth and TMJ from the damages of clenching and grinding. Your dentist can fabricate the appropriate appliance for you.

Conclusion

A smile can last a lifetime with proper care. A few minutes a day and a change in habits is all it takes to stay healthy as long as possible.

What exactly is preventive dentistry and why is it important in maintenance of our overall health?

Preventive Dentistry – The aspects of dentistry concerned with the teeth, oral cavity, and associated structures, including early detection,  prevention of disease, diagnosis, treatment of oral tissues, and restoration of defective or missing tissue.

“The body is like a piano, and hap­pi­ness is like music. It is need­ful to have the instru­ment in good order”

- Henry Beecher Ward

Dentistry as a whole focuses on prevention and treatment of dental disease. Preventive dentistry includes both at home and in office dental care. At home dental care includes maintaining a healthy dental hygiene regimen in between dental visits, trying to eat healthier meals and snacks, cessation of harmful habits such as smoking, and managing health issues. In office dental care includes regular dental examinations along with professional cleanings, oral cancer screenings, updated health history, fluoride treatments, dental sealants, and other required dental restorations. Home care and in office care work hand in hand to keep our teeth healthy, strong, and free from dental disease.

Unfortunately, many of us tend to neglect our dental care in one way or another. This could mean not following up with care recommended by your dentist or just not brushing and flossing properly (or even regularly). Tooth decay left untreated or undetected, can lead to more serious dental treatment being needed or even to loss of teeth. Periodontal disease can and will progress if not treated in its earliest stages. Periodontal disease can also lead to serious health issues such as heart disease or stroke, and recent studies link poor oral hygiene to pancreatic cancer. Preventive dentistry is an integral part to protecting not just our teeth but also our general health. Preventive dentistry acts as health guard.

What is Included In Preventive Dentistry?

-Dental Hygiene. This might very well be one of the most important things you can do to maintain both your dental health as well as general health. Numerous studies have shown that the build up of plaque, tartar, and bacteria in periodontal disease has been linked to heart disease, strokes, cancer, and even alzheimer’s disease. Flossing and brushing is an integral part of guarding against tooth decay and periodontal disease but it also acts as a protector for your heart and vascular systems. Without a proper dental hygiene regimen plaque and tartar will quickly form leading to tooth decay and periodontal disease.

-Dental X-Rays. Routine x-rays are an important part of preventive dentistry. X-rays can detect tooth decay, bone loss, some tumors (oral cancer), cysts, poor bone quality, and bone infections which in their earliest forms would not be detectable using a visual examination alone.

-Fluoride Treatment. Fluoride is a mineral that plays an important part in preventative dentistry by strengthening teeth and preventing tooth decay. For those with a history of tooth decay your dentist may recommend the use of a fluoride mouth rinse, or prescription fluoride products between dental visits.

-Nutritional Counseling. Most people do not realize how important a balanced diet is to their dental health. Foods and drinks containing sugar quickly begin to attack the teeth after entering the mouth. Most dentists recommend avoiding soft drinks or sugary foods as often as possible. If you choose to eat or drink these sweets, brush and rinse your teeth as soon as possible following ingestion of these items. Keep snacking to a minimum, try to eat well balanced meals, and you will find that your healthier choices will affect your dental health in a positive way.

-Cessation of Habits. Many harmful habits can be eliminated with help from your dentist. Nail biting, tooth grinding and clenching can be kept under control with dental appliances. Smoking can be stopped with prescription drugs such as chantix, nicotine patches, and counseling, Drug use may be addressed and a rehab program suggested.

-Dental Sealants. A dental sealant is a thin plastic-like coating that is applied over back teeth. Sealants are placed in areas of grooves and ridges where plaque can hide and the toothbrush can’t reach as easily. Covering up the grooves helps to prevent tooth decay. Dental sealants are most often applied as preventive dentistry for children but can also be used for adults.

-Oral Cancer Screening. Early diagnosis of oral cancers give patients the best chance for survival in the long term. Find a dentist who uses the Velscope early detection oral cancer screening system to ensure you are being checked regularly. The best defense against oral cancer is an early diagnosis. The mortality rate of oral cancer increases dramatically if not detected in its earliest stages.

Preventive Dentistry Conclusion

Considering that oral health is linked to overall health, preventive dentistry is important to your overall well being.  Oral diseases can interfere with eating, speaking, daily activities and even self esteem. Preventive dentistry can lead to less extensive (and less expensive!) treatment for any dental conditions that may develop, and help you keep your natural teeth for a lifetime.

Why do most dentists want you to come in for a cleaning at least every 6 months?? While it might not seem like it is necessary, these regular and routine dental visits are

Cosmetic Dentist Marielaina Perrone DDS

Regular Dental Visits Are The Key To Good Dental Health

essential  for monitoring and maintaining healthy teeth and gums.Earlier changes can be detected, and they can be addressed. Recent research has also shown how important it is to maintain a healthy mouth for our general health as well. There are many disease states related to poor dental health. These systemic diseases include heart disease, cancer, diabetes, and even, alzheimer’s disease.

The Six Month Dental Visit

What goes on in the dental office is only a small portion of oral health maintenance. Most of the work is done at home through maintaining a good oral hygiene regimen to keep our teeth and gums as clean and healthy as possible. A six month dental visit will include a professional cleaning as well as a thorough dental examination. There are many facets to this appointment. Most people would be surprised at how many different items the dentist and hygienist are actually checking.

What Does The Dental Examination Include?

Your teeth are just one part of a routine, thorough dental examination. Your dentist will evaluate the health of your teeth, your gums, TMJ, and entire inner tissues of the mouth and upper throat. They will also examine your mouth, tongue, lips, and skin for any signs of  disease, like oral cancer or diabetes.

The Head And Neck Examination

Your dentist will start off by looking for symmetry, irregularities, swellings, etc. by:

-Examining your face

-Examining your neck

-Checking your lymph nodes. They are specifically looking for any abnormal swellings or changes to one side and not the other. Also noting the presence of any tenderness.

-Checking your Temperomandibular Joint (TMJ) for any clicking, popping, or irregularities. As we age, the TMJ, like any joint can begin to deteriorate and give us issues. A good dentist will be able to note the presence of TMJ disorder even without symptoms developing.

 The Teeth And Gums Examination

Next, your dentist examine the state of your teeth and gums by:

-Taking x-rays ( radiographs) as needed. Radiographs are generally taken once per year. These radiographs allow the dentist to see some areas that are not visible to the naked eye and are not felt by an instrument. This allows for early detection of tooth decay, as well as determination of infection, or bone loss. Unfortunately, fillings and crowns, depending upon location of breakdown,  still hide many areas of decay or fracturing., Such areas are generally found later due to discomfort, discoloration, or other changes.

-Examining the gum tissue for the presence of periodontal disease, infection, systemic disease. The symptoms can include bleeding, inflammation, recession, redness and irritation, swelling, sloughing tissue, and bone loss around the teeth.

-Checking if any teeth are becoming loose or show any sense of movement.

-Looking at the tissues inside of your mouth. This will include all sides of the tongue, the tonsils, the hard and soft palate, and inside your cheeks and lips. The dentist will look for tissue abnormalities that could be suspected to be oral cancer. Many dentists use the VELscope to detect oral cancer as early as possible. The VELscope is a special light that allows the dentist to see changes in tissue that occur when oral changes, such as cancer, are present.

-Checking the way your teeth fit together, how well you bite, if you clench or grind, signs of sleep apnea.

-Looking for the presence of tooth decay. This is achieved through the use of radiographs and by checking each tooth individually to see if there is any decay visibly, tactilely, or radiographically, present or beginning to form.

-Checking for broken teeth, fracture lines, chipping, wear.

-Checking for older dental restorations that need to be replaced. Generally when an older dental restoration begins to fail there is staining present around the margins where food and bacteria are leaking inside the restoration. Also, the dentist will examine any dental crowns present to check for decay and to see that the fit is still acceptable.

-Evaluating any previous dental appliances you might have. This can include retainers, nightguards, sport guards, dentures or snore/apnea appliances. The dentist will ensure they are still fitting properly and that they are in good condition.

The Dental Cleaning

The dental cleaning is generally completed by the hygienist but some dentists do clean teeth as well. This part includes the following:

Cosmetic Dentist Marielaina Perrone DDS

6 Month Dental Visits For The Whole Family

-Checking the state of your teeth and gums.

-The use of an ultrasonic device to remove the pellicle, plaque, and tartar. The pellicle is a protein layer, much like a cuticle, that allows plaque and bacteria to more easily wick up and under the gum. The hygienist uses both an ultrasonic cleaning tool (called a cavitron) as well as using hand instruments. These tools allow the hygienist to remove substantial plaque and bacteria, and all of the pellicle, from above and below the gumline.

-Polishing your teeth with prophylaxis paste. This paste is slightly abrasive to remove any extrinsic stains that might be present. Polishing also helps to smooth surface roughness so that plaque will not stick as easily.

-Fluoride treatment. This is not just for kids! There are many types of fluoride with many different applications. Some of us are more susceptible to cavities, some of us have white spots, sensitive spots, or stubborn periodontal pockets. Different types of fluorides can help with all of these.

-Reviewing oral hygiene instructions for you to practice at home away, and from the office. This includes recommended brushing and flossing techniques as well as what products might work best for you.

Conclusion

Upon completion of the examination and cleaning, your dentist will be able to advise you of any further treatment needed. If nothing abnormal is found, you will set up your next appointment in 3- 6 month,s knowing you have been doing a great job at home with your dental care. If something is found, you should have it taken care of as soon as possible. You should try not to put off  dental work, as it will get worse over time. Remember, by seeing your dentist every 6 months and following daily oral hygiene practices at home, you have a better chance of keeping your teeth and gums healthy. Being healthy will  save you time, discomfort, and money in the long run. Prevention is always the goal!

A first dental visit for your child may cause you anxiety, but your child does not know what to expect, and will generally follow your lead. Starting a child off with enjoyable,

Pediatric Dentistry Marielaina Perrone DDS

Pediatric Dentistry Can Be Fun!

comfortable dental visits can make it easier for both of you, and lead to a lifetime of worry free, healthy dental care. So what can be done to make the dental visits and treatment go as smooth as possible?

Tips For A Fun Dental Visit

-Start With Good Oral Hygiene, and a Healthy Diet at Home. Good nutrition, and proper brushing should help keep your child cavity free. Dental visits are much easier to cope with, and feel at ease with, when there is little work to be done. Stay away from , soda, sticky sweets, and fruit gummies. Drink lots of milk and water, keep juice to a bare minimum. Teach and help with brushing and flossing everyday. Your child’s first dental visit should hopefully not be due to dental decay causing a toothache.

-Choose The Right Dentist – Not all dentists are comfortable treating children. In my opinion, a family dentist is the perfect choice for the ease of scheduling and the fact that the dentist you choose can treat your child into adulthood. Plus, children feel like grown ups to go to the same dentist as their parents and older siblings.

-Have Older Siblings Act as Role Models. A younger child usually will try harder to do something that they see big brother or sister do. If there are no siblings, have your child sit in the office with you, and at the end, have them sit in your lap for a quick peek, and a ride in the chair.

-Start Young – The earlier a child visits the dentist, the better. This will make a child very familiar with the surroundings of the dental office. It is best that the first visit starts at age 1 or when the first tooth is visible. The initial visit generally is an introduction visit with oral hygiene education for parents.

 -Be Honest – Never try to fool or trick a child into doing something. Kids generally have a good sense of their surroundings and will react badly if they are tricked. Kids are quite strong and should be told what is going on so they can prepare themselves for it.

-Stay Positive – Most children’s dental fears arise from hearing their parents talk about their bad experiences of the dentist. Keep positive communication regarding dental care and dental treatment and visits with your children will go much smoother for all involved.

Pediatric Dentistry Marielaina Perrone DDS-Watch Your Words – Never use the words “shot” or “pain” words with children. Always use positive phrases to keep them happy. Negative words will transfer worry to the child.

-Communicate – Constant communication is needed to make this a great experience. If you encourage your child, and explain that they are going to have pictures taken of their teeth, their teeth polished and shined, etc. They will look forward to their appointment, and want to ask questions. A good dentist will also reinforce what you said and place your child at ease, answering questions, and explaining all that they do throughout the dental visit.

-Reward Good Behavior – Promise a reward for good behavior following dental treatment. Kids will associate the dentist with the prize and look past the actual visit toward what they may receive afterward, even if it is just a shiny, new toothbrush from the dentist. A second reward by you after the visit such as going to the park or a favorite place for lunch.

-Schedule Appointment Early In The Day – Arrange a dental visit as early as possible in the morning. This allows the visit to be done early in the day while the child is not tired and before the kids get wound up from the day. Kids deal with new things better when they are not exhausted.

Pediatric Dentistry Conclusion

Dental visits can be fun experiences. Most children who start young and problem free, can build a trust and confidence in themselves and their dentist. Children who learn good oral hygiene at a young age will thank their parents later in life when they experience less tooth related issues and stay healthier longer.