Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

Choosing the right dentist or doctor is always a difficult thing to do. Some of us rely on friends and family for a referral, while many turn to internet reviews. There are over 150,000 dentists nationally, with new graduates added every year. Many of these dentists are not trained beyond general dental school knowledge to perform more complex dental procedures.

A recent survey revealed that this year about 10% of Americans (and the number grows every year) received at least one cosmetic dental procedure to transform their smiles. Receiving cosmetic dentistry from an experienced, skilled cosmetic dentist can transform your appearance, but poorly executed dentistry can prove to be a disaster.

A sobering statistic, well over 25%, (that is 1 out 4 procedures done) of all the money spent by Americans on cosmetic dentistry is spent re-doing and correcting poor dental work from previous visits.

Things That Can Go Wrong During Cosmetic Dentistry

-Restoration Failure - When any dentistry is done, there can never be decay from cavities left behind. Fillings must be properly shaped and hardened so that they do not cause new problems to arise. Improper technique will not only mean your new fillings,  porcelain veneers or dental crowns will eventually fail, it could also mean the possible need for root canal therapy or even potentially the loss of the tooth if left untreated.

-Pain and Discomfort - A skilled, experienced, dentist knows that  dentistry is about more than just appearances. If you do not plan to address bite issues, periodontal issues, and sensitivity problems, restorations will fail and cause pain and discomfort for the patient. If the bite is off, even slightly, the dental work and tooth will be prone to cracking, wearing, and pain. Root canals can be incomplete and cause reinfection, extractions of teeth can be improperly performed causing severe bone infection, fractures, and pain.

-Lost Time - Cosmetic dentistry is usually lengthy, necessitating multiple visits to the dentist. A typical cosmetic treatment takes at least 2-3 appointments, and can take 1 hour to more than 5-10 hours in the dentist’s chair. The work is an investment of your time and money. If this work is performed poorly and needs to be redone, patients will need to take off more time from work to have it repaired or redone elsewhere.

-Increased Cost - In addition to losing time, the original cost budgeted could explode to fix poor dental work. There is an old saying “You Get What You Pay For”. The same is true in cosmetic and traditional dentistry. It is smart to be cost conscious but many dentists who call themselves cosmetic dentists will offer inferior materials in order to cut costs and lower the price to the consumer. Using a poor dental lab or lower quality materials will cut into the longevity as well as the final appearance of any dental work. When dentistry goes bad, it usually needs to be redone from the beginning. This means losing what you initially invested and paying again for the re-do work.  It is not unusual to have a patient spend money initially only to have to spend a much higher amount to re-do all the work just a short time later.

Conclusion

Choosing a dentist is never an easy decision so do your best to get information from friends, family, and internet. Request a free consultation to tour the office and meet not only the doctor but the staff. Dentistry tends to be an intimate experience and you need to feel confident and comfortable in the dental chair. Choosing the right dentist will make all your dental work a breeze. Most importantly, good dentistry will keep you healthy and end up saving you money in the long run.

As we are in the middle of the Holiday season there are lots of tempting treats to pick on. Most are okay in moderation but some are likely to create problems for your dentalDental Care Marielaina Perrone DDS health. Issues that could be created include tooth decay and even fractured teeth. Below are a listing of some to be careful of:

1. Popcorn. An old favorite usually enjoyed at the movies but around holiday time regular old popcorn becomes coated in caramel. Normally popcorn presents challenges for teeth due to biting on popcorn kernels and popcorn husks getting stuck between teeth. Those pesky popcorn kernels have been known to cause broken teeth and fracture fillings. Add the caramel and it is a recipe for disaster as the caramel masks the kernels and sticks in and around your teeth. This can break a tooth, or create an environment ripe for development of tooth decay. So think twice and beware if  indulging in this holiday favorite.

2. Dried Fruit. Seems like this would be a healthy snack but the sugars in the dried fruit are concentrated and their dry texture makes them stick longer to teeth. This allows acid producing bacteria in your mouth to have a chance to work on your tooth enamel. Be smart, and floss after or chose fresh fruit instead.

3. White Flour Crackers. We love these crackers with cheese spreads as a pre holiday meal snack. Did you know the bleached white flour turns almost immediately into sugar, which is food for the bacteria in your mouth to create an acid filled environment for tooth decay. Choose whole grain versions of these favorite crackers for better dental health as well as general health.

4. Candy Canes. A traditional favorite that can also cause fractures to teeth if you choose to bite into them. Sucking on hard candy makes the sugar acids linger longer in your mouth. Break off a small piece, and drink water after.

5. Christmas cookies and fudge.These are hard to pass up, especially at a party! Remember that very high sugar content, white flour and the stickiness are the contributors to tooth decay. Try eating some carrots or celery directly after you partake in these sweet treats.

6. Peanut brittle. Some peanut brittle is harder or stickier than others. You can pull out a crown or filling or break a tooth. Try moistening a small piece in your mouth to soften it before chewing. You will certainly need to floss after this snack!

Dental Hygiene Tips for Holidays

-Drink Water. Plenty of it to swish and rinse your mouth.This will reduce the acid producing sugars and food debris from holiday snacking.

-Crunch on raw veggies. They will help clear the stickiness and stimulate salivary flow.

-Brush and Floss After Snacking. Brushing and flossing after snacking will neutralize the acid build up and not allow the tooth enamel to be broken down.

Enjoy the Holidays, just use your judgement to make good choices. You can still eat the special foods you love, just do it wisely. Remember, smiles are contagious, spread some holiday cheer with your beautiful smile!

 

Porcelain crowns have long been the cosmetic dentist’s best friend. They  provide a long lasting, beautiful restoration that is very esthetic.   The cosmetic enhancement uses of porcelain crowns include, changing color of teeth, closing gaps between teeth, fixing teeth that are crooked or crowded, changing shape or size of teeth. Porcelain crowns

e.max porcelain crowns Marielaina Perrone DDS

e.max porcelain crowns look natural.

are also used to cover and protect damaged teeth, (tooth that had root canal treatment, broken, cracked, large fillings), and to act as a new tooth in the case of dental implants.

Full porcelain crowns, unlike porcelain fused to metal crowns, has translucency.  The porcelain’s translucency allows it to reflect light much like natural teeth. There are many different types of porcelain utilized in many different ways, however, the limiting  factor has always been strength against fracture. E.max porcelain crowns have combined optimum translucency and strength.

What are E.max Porcelain Crowns?

E.max porcelain crowns are a highly esthetic crown originally developed to be used on implants. Dental implant porcelain crowns require greater strength against fracture than crowns on natural teeth. E.max porcelain crowns (due to superior strength) can also be made thinner than other porcelain crowns, allowing for more natural translucency and beauty.  E.max porcelain crowns are made from a single block of lithium disilicate ceramic. This type of porcelain is considered a very high grade material which has been harvested for its toughness, durability and opaque qualities which make for a highly prized crown.

E.max porcelain crowns are considered to be a perfect match against the backdrop of your natural teeth. The transparent color, lifelike shape, along with its light reflection properties create the ideal restoration. There is no metal framework on e.max porcelain crowns which means there is never a chance of a grey line of metal showing through your gums. They are strong, long lasting and unlikely to crack or fracture as compared to many other types of crowns. They are considered to be at less risk of chipping compared to zirconia porcelain crowns.

The beauty of this technology is that e.max is not limited only to porcelain crowns. The same techniques and materials are available for porcelain veneers, porcelain inlays, porcelain onlays, and porcelain crowns over dental implants.

E.max lithium disilicate glass ceramic delivers the fit, form, function, and esthetics demanded by modern cosmetic dentistry but with the enhanced strength and light reflecting properties dentists demand as well. Since the e.max porcelain crown system was introduced almost 40 million restorations have been  and they have been proven effective for use.

 Any Disadvantages of e.max porcelain crowns?

-The main disadvantage of e.max porcelain crowns is with the cost. The lab equipment and highly specialized lab training to make this crown are the reasons why the quality comes with a higher price tag.

-The second disadvantage with e.max porcelain crowns is that it can not be used to make a porcelain bridge, and fusing of  more than 2 teeth is not recommended.

-The third main disadvantage is, as with most porcelain crowns, there tends to be a higher chance of sensitivity after the crown is cemented in place. The sensitivity may last days or weeks.

Conclusion

E.max porcelain crowns have proven to be a very useful cosmetic dentistry tool. Dentists and patients no longer need to compromise when it comes to the esthetic look of the final restorations. You no longer need to worry about crowns looking unnatural. E.max porcelain crowns will give you something to smile about!

Teeth whitening strips are a fairly new invention. Teeth whitening strips are sold over the counter in most drug stores. Proctor and Gamble introduced their first line of teeth whitening strips (Crest Whitestrips) in the year 2000. Since then the market has been flooded with similar products. These include Listerine Teeth Whitening Strips or Rembrandt Teeth Whitening Strips.

Teeth whitening is perfect for young patients who have healthy, cavity free, unrestored teeth (no fillings) and gingival tissues. Studies have shown that patients with yellow tones to their teeth respond best to teeth whitening, whereas gray and see through teeth do not. But this cosmetic procedure is not recommended for everyone. That is where teeth whitening strips come in. They are far less expensive than other options including in office teeth whitening treatments.

Teeth Whitening Strips – What Are They?

The idea behind teeth whitening strips is quite simple. They give a person a way to perform a gradual effective teeth whitening treatment on their own. Teeth whitening strips are very thin, virtually invisible strips, that are coated with a mild peroxide based whitening gel. By wearing the strips as noted on the product packaging, the gel comes into contact with the surface of your teeth and works to slowly take away surface staining. They also remove some stains from within the enamel. The strips are recommended to be applied twice daily for 30 minutes for 14 days. Initial results can be seen in as little as a few days and final results are maintained for about 3-4 months.

The peroxide gel on the teeth whitening strip works by slowly bleaching your teeth. Most teeth whitening strips come in a larger size for the upper teeth and a smaller size for the lower teeth. The patient is instructed to press the teeth whitening strips around your teeth to make a tight contact. The gel then contacts your enamel and begins its work when it heats up to body temperature. Various products contain different amounts of peroxide so usage instructions will vary from brand to brand.

Over the counter teeth whitening strips contain roughly between 3% to 10% hydrogen peroxide. Professional teeth whitening strips (available only through a dentist) usually contain somewhere in the neighborhood of 15%-30% hydrogen peroxide. Teeth whitening procedures conducted in dental offices contain hydrogen peroxide in the range of 20%- 38%. So as you can see by those numbers the rate of effectiveness will vary for each technique.

Teeth Whitening Strips – Are They Effective?

Yes! Teeth whitening strips can be very effective at what they do. Remember, they will not whiten fillings or crowns, so be careful not to over do it and make dark crowns, fillings stand out. It is always important to remember to follow all instructions on the packaging. Choose the teeth whitening strip that fits you and your lifestyle. If you feel that using strips twice a day for 30 minutes at a time seems like a long time then you need to consider other options. Like a 1 hour in office procedure.
It is always best to talk to your dentist first before starting any tooth whitening regimen. Some types of dental work such as bonding, crowns, veneers or bridges will not whiten, leaving an uneven appearance. Some stains will not whiten well with teeth whitening strips, such as Tetracycine stains and fluorosis (brown or white spots).  Also, some types of stains are the result of unhealthy teeth, whitening can exacerbate an already delicate oral health situation. Any teeth whitening procedure works best immediately following a thorough professional dental cleaning. An appointment with your dentist is the best way to start any teeth whitening process, saving you time, money, and helping you get the best results.

Disadvantages of Teeth Whitening Strips

Teeth whitening strips are a one size fits all entity. So they may not fit everyone exactly the same. Again, read the packaging carefully to find the right size for you. You need to think about how many teeth you need to whiten based on your smile for the length of the strips.

In comparison, dentist observed custom tray systems are molded to fit your mouth perfectly. These leaves zero coverage issues and gives a more uniform end result with consistent bleaching throughout the mouth.

While teeth whitening strips are effective, dentist observed treatments are more effective. They give a more uniform bleaching of teeth as well as give you the convenience of finishing treatment faster.

Side Effects From Teeth Whitening Strips

Crest Whitening Strips

Crest Teeth Whitening Strips

Two main complaints regarding teeth whitening strips are tooth sensitivity and gingival irritation. Teeth sensitivity generally correlates with the strength and amount of peroxide in the bleaching gel. If you have had a history of tooth sensitivity in the past it is best to choose a lower dose peroxide teeth whitening strip. The major cause of gingival irritation occurs when patients apply the strip over the gums or part of the gums. If either of these occur you should stop use of the whitening strips for 24-48 hours. This should be enough time for the sensitivity and irritation to resolve itself.

In conclusion, teeth whitening strips are an effective alternative to the traditional dentist observed teeth whitening systems. As always remember to maintain a good dental hygiene program and visit your dentist and hygienist regularly.

 

Teeth Whitening Strips – Good Or Bad?.
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