Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

Tooth sensitivity is tooth discomfort in one or more teeth that is triggered by hot, cold, sweet, or sour foods and drinks, or even by breathing cold air. The pain can be sharp, sudden, and shoot deep into the nerve endings of your teeth.

Sensitive teeth is a very common issue for many adults in America. Sensitive teeth occur when the layer under the enamel (the dentin), or cementum (root area) of your teeth becomes exposed as a result of receding gum tissue. These unprotected surfaces, which are not covered by hard protective enamel, contain thousands of tiny tubules leading to the tooth’s nerve center (also called the pulp). These dentinal tubules allow the hot, cold, or sweet food to reach the nerve in your tooth, which results in the pain you feel.

Sensitive Teeth Home Remedies

If you develop tooth sensitivity in one or more teeth, first see your dentist for an examination to determine the cause. Then, if your sensitivity is caused by simple enamel abrasion or by gum recession, try the following home remedies for relief:

-Desensitizing Toothpaste. Unfortunately, tooth sensitivity over a wide area due to enamel abrasion or recession at the gum line usually cannot always be treated with dental fillings. Instead, it may be recommended that you try brushing with a desensitizing toothpaste. These toothpastes are available at your local drug store. These toothpastes contain ingredients that reduce tooth sensitivity by filling in the tubules in the dentin. Another good tip is to put some of the toothpaste on your finger and spread it over the sensitive spots in your mouth before you go to bed. You can spit out excess but do not rinse otherwise you will wash it off. The tooth sensitivity should be reduced over the course of a few weeks. A good toothpaste for sensitivity is Colgate sensitive Pro-relief.

-Fluoride Rinse. Stannous Fluoride rinses can help decrease sensitivity, especially for people plagued with decay issues. There are certain instances where patients need a stronger fluoride rinse than available at the local drugstore. During some periodontal disease treatment, teeth can become more sensitive than usual until the gum tissue heals. Dentists will then prescribe a higher concentration fluoride rinse to use.

-Maintain Good Dental Hygiene. Keep your teeth clean through brushing, flossing, and rinsing. Plaque, the white substance that forms on and around teeth, produces an acid that irritates teeth, especially if your teeth are naturally sensitive. It is recommended that you brush your teeth at least twice a day (preferably after eating and definitely before bed) and flossing at least once per day.

-Use a Soft Bristled Toothbrush or a Mechanical Toothbrush. Using a tooth brush that is too hard or being too aggressive while brushing can actually damage your teeth’s enamel. When the gum line recedes, the exposed dentin along the root becomes even more vulnerable to abrasion. Using a brush with soft bristles along with a gentle touch works far better in the long run. A good option is the Rotadent electric toothbrush. The Rotadent has very soft bristles and the action of the brush does all work effectively cleaning your teeth without doing any unnecessary harm.

-Decrease Acids in Your Diet. Carbonated beverages, citrus fruits, and vinegar can increase sensitivity. If you combine acids with sugar as in sour gummies, you can cause yourself hours of aching teeth.

-Be Careful of Temperature. Extreme hot or cold should be limited. If cold, use a straw. If too hot, let it cool down a bit before consumption. Never follow one temperature extreme with the other. Drinking hot coffee after ice cream is sure to increase your sensitivity dramatically.

Sensitive Teeth Conclusion

These at home remedies are to be utilized after seeing your dentist to get a full evaluation as to why your teeth are sensitive. Figuring that out should always be the first step to ensure the sensitivity is not from a tooth fracture or tooth decay. The remedies above will help resolve limited tooth sensitivity so it is not as big an issue for you and you can resume eating and drinking your favorite items.

Dental Hygiene is one of those things in life that takes just a small amount of time to give great benefits to our teeth and overall health. Luckily for us, there are some great dental products out there today that can aid us  in achieving the goal of good dental hygiene. It all starts with brushing at least twice a day with a fluoride toothpaste and flossing at least once per day. Consistency is the key to maintaining good dental hygiene.

Best Dental Products

1) Automatic Toothbrush. An automatic toothbrush is able to reach places that most manual toothbrushes are unable to. Another advantage of an automatic toothbrush is that they help prevent wear that aggressive manual brushing causes. Most automatic toothbrushes have a timer on them. This ensures that you are brushing for the proper amount of time. An automatic toothbrush is especially helpful for patients with limited dexterity either from age or disease. There are two types of automatic toothbrushes:

-UltraSonic Toothbrushes. These toothbrushes can generate between 30,000 and 40,000 brush strokes per minute. By comparison, manual toothbrushing can only generate 300 brush strokes per minute. The bristles also rotate in the recommended back and forth motion needed to clean teeth and gums properly. Another plus of these sonic toothbrushes is that they have a patented cleaning action that actually directs fluid between teeth and below the gum line to gently remove plaque and food debris.

-Electric toothbrushes. These toothbrushes can generate between 3,000 and 7,500 brush strokes per minute. Generally these brushes work by rotating in a circular motion. Some even have a dual action with pulsating motion added in as well to facilitate plaque and food debris removal.

Although individual designs differ, the bristles in the brush head are typically either set in a circular format that rotates (the entire head rotates in unison) or individual tufts of bristles within the brush head spin independently. Some electric toothbrushes have both a rotating as well as a pulsating motion to help remove plaque and reduce gingivitis.

2) Water Irrigators with Periogen. the most common being the waterpik ultra. Most people do need these to aid in dental hygiene (especially those with bridgework, implants, and braces). The irrigation helps to stimulate blood flow to heal gum tissue, remove hard to reach food particles, and get up to 6mm into a periodontal pocket. Recently a new product has come to market called Periogen. Periogen is a unique product in that it is an oral rinse that removes tartar buildup between professional cleanings. The waterpik aids in getting the periogen oral rinse below the gum line and in between teeth.

3) Disclosing Solution. This is generally used for kids but can apply to adults having trouble keeping their teeth clean. The disclosing solution is used as a rinse and it will color the plaque and food debris on your teeth making what you normally miss during brushing very visible. You are able to then remove  any residue of color remaining and know what you need to do next time. Its a great visual tool to really make a difference in your oral health.

4) Flossers. While there are many new flosses that do a great job (such as reach total care), many patients do not floss regularly. Luckily, a product has been developed called a flosser( such as reach access flosser). Makes cleaning between teeth as easy as can be.  These are also helpful for those with limited dexterity as well as children.

5) Tongue Scrapers (also called tongue cleaner). This will allow you to remove food debris, fungi, dead cells and bacteria that builds up on the tongue. The benefit of this will be better breath. Decaying bacteria produce volatile sulphur compounds on the rear of the tongue.  These molecules account for about 85% of all cases of halitosis (bad breath). Scraping your tongue every night at bedtime can alleviate your bad breath.

Dental Hygiene Conclusion

There you have the top picks to aid in your dental hygiene. Dental hygiene is something that must be done consistently every day to have its greatest benefits. As always see your dentist for regular dental examinations as well as professional cleanings to keep your mouth healthy. Having a clean mouth will lead to a healthier you!

Periodontal disease can be very difficult to manage once it begins to progress past its initial stage of gingivitis. The treatment requires diligence on the part of the patient to

Periogen Marielaina Perrone DDS

Periogen + Waterpik = Healthier Mouth!

maintain regular hygiene appointments and meticulous home care. Professional cleanings go a long way to preserving your teeth and gums, but once patients leave the office they need to maintain their oral hygiene so it does not progress further. Many patients just need to get into a routine of brushing, flossing, and rinsing regularly. So, how can we make it more effective and efficient for the patient?

How to Improve Dental Hygiene?

Let’s face it, most patients do not like to floss. So what do we do to get patients to maintain their dental hygiene? One of the most effective and most popular products on the market today is the waterpik flosser. The waterpik flosser works by delivering a combination of water pressure and pulsation. This allows the waterpik to remove debris and bacteria lodged between the teeth and below the gum line. It is also able to massage and stimulate the gums to improve blood circulation and help promote healthy gums.

The waterpik has also been extensively studied in clinical trials and shown that it is clinically proven 50% more effective than traditional dental floss.

SO…what can make the waterpik even better? The answer is in a new rinse called Periogen. Periogen is a patented oral rinse that has been proven capable of dissolving tartar buildup between professional cleanings and dentist visits. Periogen works by exploiting a weakness (discovered by the research team at the Periogen Company) in the fundamental structure  of oral tartar, and the way it sticks to our teeth.

Tartar (or calculus as it is sometimes called) can be found above and below the gum line. Tartar above the gum line is referred to as supra gingival tartar and tartar below the gum line is referred to as sub gingival tartar. Dental Tartar is comprised almost entirely of Calcium Phosphate Salt. Calcium Phosphate is also the basic component of tooth material.

Periogen Marielaina Perrone DDS

Periogen Oral Rinse

Calcium phosphate salt differs from calcium phosphate in its electron structure. The calcium phosphate salt has two less electrons than the calcium phosphate which makes it electrically unstable. This process of losing electrons happens in nature all the time. The best comparison is the buildup of lime deposits in water pipes and faucets. Microscopically, tartar is layer upon layer (can be in the tens of thousands layers) of  calcium salts and bacterial debris.

The tartar is a main cause of periodontal disease. Breakdown of gum and bone tissue is caused by toxins released by bacteria in plaque and tartar, and by the body. The toxins cause the body to react by starting the inflammatory process thereby destroying healthy gum tissue and supporting bone structures. Periodontal disease is progressive. Without proper treatment, periodontal disease will lead to tooth loss and infections throughout the mouth.

Periogen is used as an oral rinse 1-2 times per day between professional cleanings to reduce the level of tartar buildup and stain. This will in turn, make for an easier dental visit. It also maintains a healthier state in your mouth for your teeth and gums to heal. Periogen should in no way replace brushing and flossing, or visits to the dentist but just works as an accessory between professional dental cleanings to give you a more effective way to reduce tartar and fight periodontal disease .

Many of us choose haircuts or clothes based on our facial or body shape so why not our teeth? We are all born with a set of teeth that may or may not be perfect to us. There may be minor flaws or major ones to our eyes. With modern cosmetic dentistry, teeth changes can be made to improve your overall appearance and look very natural.

Cosmetic Dentistry Marielaina Perrone DDS

Cosmetic Dentistry Can Change Your Smile!

Facial Analysis and Cosmetic Dentistry To Transform Your Smile

It is essential for your dentist to do a facial analysis in treatment planning for cosmetic dentistry. The face drives the shape and position of the teeth. If someone smiles at you and it’s a high and wide smile, the teeth might be out of balance or out of proportion to the face. If this is the case, the smile needs to be altered to bring about balance and proportion.

Simply put, the face, mouth, and lips direct the size of the teeth. The facial aesthetic drives the tooth size and position. Your dentist will need to look at the face from both the front and the side, the relationship between the lips and the teeth and the teeth’s shape, color, size and position.

“There is an important harmony that exists between teeth and facial features for a successful cosmetic dentistry result.”

The shape of the head, size and position of the eyes, nose, lips, cheekbones all play a role in determining the size, position, shape and contour of the teeth. Your cosmetic dentist should do a complete analysis with models of your mouth and records may include extra oral photographs of the full face, profile, smile and intra oral photos of the teeth, bite, gums, and arch form, and measurements. The architecture of the mouth, including the patient’s lip line (e.g., a high lip line give a “gummy smile” appearance), and gum line contours are an integral part of facial analysis.

Cosmetic dentistry utilizes many procedures to make the changes necessary to make your smile complement your face. The goal in cosmetic dentistry is to create a natural looking smile, so that only the dentist and patient know what was done. This becomes especially important as we age. Listed below are some of the cosmetic dentistry procedures that can be used to make complementary changes:

Cosmetic Dentistry Marielaina Perrone DDS-Dental BondingDental bonding is the process in which tooth colored dental materials are bonded to a tooth. This might be one of the easiest cosmetic dentistry procedures to change our look. Using dental bonding we can change shape, size, color, length, and close any spaces that might be present. Dental bonding is generally completed in the dentist office in as little as an hour. The main drawbacks of dental bonding are chipping, wearing, and staining. The final product is not as strong as a porcelain restoration and may need to be updated over time, but can be done in less time for less money. While dental bonding is also used to restore teeth damaged by tooth decay it can also be used as a cosmetic veneer. This procedure can easily alter your smile in as little as an hour, and is minimally invasive. Dental bonding is a very easy way to make your smile youthful looking again.

-Porcelain Veneers and Porcelain Crowns. Often referred to as “instant orthodontics”, porcelain veneers can change the alignment of teeth, if the alignment issues are not too extreme. Porcelain veneers and porcelain crowns can be a great way to replace lost tooth structure and alter imperfect teeth creating a more youthful appearance. These cosmetic dentistry procedures tend to require more than one visit, but the results will give you a beautiful, youthful smile that lasts. Porcelain Veneers are custom made, ultra thin, tooth colored shells that are adhesively bonded to the teeth, and do not change color over time. This allows the cosmetic dentist to not only alter color of your teeth, but shape and lengthen as well. Porcelain crowns can be used on teeth that either already have crowns or need more extensive work (having large restorations or tooth decay). Both porcelain veneers and porcelain crowns can as used in cosmetic dentistry to give the patient a flawless, more youthful and attractive smile.

Tooth Shapes To Complement Your Face Type

A good cosmetic dentist will note all factors during treatment planning. Individual facial type is one of those important factors in cosmetic dentistry. The following is a guide to different facial shapes and their complementary teeth shapes:

-Small Face: A small face requires smaller porcelain veneers or porcelain crowns. Long, square shaped tooth shapes should be avoided. If the teeth are too long it will notCosmetic Dentistry Marielaina Perrone DDS be in line with overall proportions of your face.

-Angular or Square Shaped Face: For this type of face softer edges are required. This will help soften the overall smile and merge it better with the rest of your face. Sharp angled teeth may be too harsh of a look.

-Fuller Face: Just like vertical stripes make a person look slimmer, slightly longer teeth can create a slimming effect.

-Thin Face: The key here is to avoid thin, long teeth. They will only make your face appear longer. Wider, fuller teeth will broaden your smile and add fullness to your smile.

Other factors to consider:

-Tooth color - Lighter teeth are what most of us desire when altering cosmetics. Keep in mind, that skin color, lip color, and hair color effect how whit your teeth appear. You, and your dentist should go through several options to see what will work best for you.

-Tooth size - As we age our teeth tend to shift, chip, and wear. Tooth size and shape consequently change. Restoring back to proper proportions make your teeth appear healthier and more youthful.

Cosmetic Dentistry Conclusion

Many dentists call themselves cosmetic dentists, but not all have the proper training, experience, and skill to take an ordinary smile and make it extraordinary. The key to it all, is overall improvement, while keeping it looking natural. The best cosmetic dentistry procedures is make your smile appear natural with the proper color, shape, and light reflecting properties. Your friends and loved ones will love your new smile, without realizing what you have had done!