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



Dental implants have evolved over time and become an ideal replacement for a lost tooth or teeth. The long term success rate of dental implants is well over 95%. What once was a product offered to very few has now become a mainstream dental care service available to most.

Options For Dental Implants

Depending on each, unique, individual person, each dental implants case will be personalized. Depending on how many teeth are missing as well as the available quantity and quality of bone present. Below are some of the situations where dental implants can replace lost teeth:

-Loss Of A Single Tooth. At one time, this meant wearing a removable appliance (commonly called a “flipper”) or removing natural tooth structure from surrounding teeth to create a fixed bridge of dental crowns. The flipper tends to be uncomfortable to wear and may affect speech. The 3 unit bridge compromises the support teeth by having them do the work of the lost tooth, and by making them more susceptible to decay. The long term success rate is lowered due to difficulties in cleaning under and around the bridge. A single tooth dental implant, when completed properly, will last a lifetime and function just like a natural tooth.

-Loss Of Multiple Teeth. When missing multiple teeth in a single area, dental implants can be used to form a fixed bridge. The beauty of this arrangement is stability and the ability not to affect the natural teeth in any way.

-Replacing All Teeth. In the past, the only way to restore function was to fabricate a removable denture. With dental implants, dentists have the ability to restore natural function and esthetics.

Complementary Procedures To Dental Implants

There are times when other dental procedures are necessary to successfully complete the placement of dental implants. These include:

-Sinus Lift. When you have a large sinus area that impinges on available bone depth, the sinus lift is a common surgical procedure. Sinus lifts are needed to elevate the sinus membrane and thicken a part of the upper jaw with a bone graft. This helps give  a dental implant enough bone depth to place it properly in the area you need it. Dental implants need a good quantity of bone along with good, dense quality of bone to succeed. The upper jaw is known to have poorer quantity and quality bone structure as opposed to the lower jaw. The maxillary sinus also plays a role in increasing difficulty in this area. Sinus augmentation can remedy these issues by raising the sinus floor and placing bone grafts in the area to aid in dental implant placement.

-Bone Grafting. When the bone is not 100% adequate for dental implant placement, dentists are able to add to it by performing a dental bone graft. A bone graft is the placement of bone or bone-like materials in the jaw to to build it up. This gives an excellent platform for dental implants. Modification of the bone in this fashion has been shown to improve both appearance and long term success of dental implants. Typically, dentists try to place implants at least as deeply into bone as the crown or tooth will be above the bone. This is called a 1:1 crown to root ratio. This ratio serves as a guide for bone grafting in most situations.

Can A Dental Implant Fail?

It is quite rare for a dental implant to fail but when it does the dental implant must be removed. Then re evaluated as to why the failure occurred and to see if a new dental implant may be placed. Some of the common reasons for dental implant failure include:

-Failed Integration of Dental Implants - This occurs when the bone does not grow and fuse between the threads of the implant. This fusion of bone to dental implant is called osseointegration. If this does not occur, the dental implants will not function properly,will become uncomfortable, become loose, or come out completely. To reduce this risk, your dental surgeon will evaluate the quality and density of the jaw bone prior to surgery. This will help to only place dental implants in areas where there is a highly predictable success rate. If osseointegration does not take place, the dental implants can be removed, and surgery can be attempted again once the area has fully healed.

-Infection –  This is the most common complication of dental implant surgery. The surrounding bone and gums can get infected during the surgical procedure. This can happen due to non-sterile technique, a contaminated implant, poor healing ability(diabetic, smoker, osteoporosis medications), or pre-existing infection. The most likely time for this to occur would be during the surgical placement of the dental implant into the bone. Implant infection can occur after placement as well. Poor hygiene, too much force placed on the implant, or excess cement can cause the support tissue to breakdown. Implant infection is a condition referred to as peri-implantitis. Peri-implantitis is characterized by inflammation or swelling of the tissues surrounding the implant area. Peri-implantitis can also present as a secondary infection later on is a form of periodontal disease that can lead to inflammation, bone loss and implant failure if not treated quickly and properly. Although 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 years after surgery.

-Post Surgical Bleeding - Some bleeding following surgery is normal and should be expected for about 1-2 days. Biting gently on a gauze pad placed over the surgery area for 30 minutes should normally stop the bleeding. Excessive bleeding is not normal and you should notify your dentist immediately if you have concerns about your dental implants.

-Damage To Surrounding Tissues - Dental implant complications related with surgical errors affecting adjacent teeth, nerves or sinus are directly correlated with the experience and skills of the dentist or surgeon. An experienced and skilled implant dentist is able to identify potential problems by examining x-rays or CT scan (computer tomography), design the proper surgical plan for ideal location and angle, and execute it successfully without complications. Even with the most skilled implant dentist there is always a possibility of dental implant complications. The complications can be limited by choosing an implant dentist with the skills and experience necessary to handle any complications if they arise.

-Rejection – An extremely rare complication for dental implants but it has been noted in the research literature. The dental implants can sometimes be viewed as a foreign body.

-Unusable Dental Implants – An implant that has successfully integrated with bone, but the area or extreme angle of placement deem it unrestorable.

Dental Implants Conclusion

Dental implants have been the solution for many. They come with risks but with proper treatment planning from a well qualified dentist they can be a successful tooth replacement for a lifetime of smiles.

 

 



Having a healthy, white smile is a goal for most of us. Maintaining a good routine for dental hygiene is key to the foundation of that success.The work required to make this happen, can be difficult and even overwhelming at times. Below are just a few easy tips to keep you on track for a healthy, white smile that dazzles.

Top 10 Dental Tips

1. Visit Your Dentist Regularly. This is very important to not only keep your teeth clean but keep your mouth free of periodontal disease. Regular dental examinations along with professional cleanings can help you keep your teeth clean, white, and healthy for a lifetime.

2. Beware of stains. Drinking red wine, black tea, or even indulging in an occasional cigar will give your teeth a darker, duller appearance. Brushing and flossing alone will not be able to remove these stains that work their way deep into your teeth. A good tip for when you do indulge is to brush and floss immediately after eating and drinking any items you think might stain your teeth. There are also natural tooth whiteners that you can use like crunchy vegetables and fresh apples. Their crunchiness helps give a cleaning action to your teeth to remove some of the lighter staining. There are also whitening toothpastes, such as colgate  optic white, which are very effective at removing surface staining when used regularly.

3. Don’t Forget Your Tongue. Studies have shown that bad breath can emanate from the tongue. Dead cells and bacteria can harbor in the folds of our tongue contributing to bad breath. Tongue scraping alone will not rid you of bad breath but it can help. You can use a toothbrush for this or most stores carry tongue scrapers specifically designed for the task at hand.

4. Gargle With Apple Cider Vinegar. This has become a popular remedy for whiter teeth. However, the vinegar can promote an acidic environment in the mouth causing tooth enamel erosion. Rinse with this at your own risk. The benefits may not be worth the risk of enamel erosion and tooth decay.

5. Use An Antibacterial/ Anti-Tartar/ Fluoride Mouthrinse. Oral rinses can get to places we sometimes miss from brushing and flossing. They also have the ability to lower the bacteria count in the mouth to help prevent tooth decay and periodontal disease. A good tip is to choose a mouthwash that  specifically targets your needs. There are whitening rinses, anti-plaque rinses to reduce periodontal bacteria such as listerine, anti-tartar rinses such as Periogen, Fluoride rinses such as ACT.

6. Chew Sugarless Gum (with Xylitol). Xylitol has been shown to decrease the incidence in tooth decay when chewed regularly. Xylitol enhances the remineralization of teeth, particularly in small decay spots just developing in the tooth enamel. Also, bacteria are unable to produce acid when xyltiol is present. This inhibition of acid production will help the teeth to stay safe from tooth decay.

7. Brush With A Teeth Whitening Toothpaste. While the effectiveness of these toothpastes comes into question for many they do help remove light staining. Brushing with a toothpaste like Colgate’s optic white can keep your teeth as white as possible in between dental visits.

8. Choose The Right Lipstick. This tip is for the ladies, choose a medium coral or light red lipstick. These colors can make your teeth appear to look whiter, whereas lighter-colored lipsticks tend to bring out the yellow and darker areas in teeth.

9. Floss Regularly. Many do not realize the staining that can occur in between teeth from plaque buildup. Flossing will help keep tooth decay and periodontal disease in check but it can also make your teeth whiter and brighter.

10. Strawberries. There has been some evidence showing that strawberries have some teeth whitening properties. So next time you grab for a snack think about your teeth and grab some strawberries.

 Whiter Smile Conclusion

Having a healthy, white smile can be a reality with routine dental care coupled with good dental hygiene at home. For those, who need have dental issues already and need a little boost, there are many treatments that your dentist can advise you of  that can be personalized for your individual needs. It is never too late to have a healthier looking smile!



Many of us see a beautiful smile and wish that it could be ours. Few of us are born with perfectly shaped, straight, white teeth. In the past, “natural smiles” were the norm, but today, cosmetic dentistry has evolved to offer many corrective options. This has allowed many patients to take advantage of these modern options to give them that “perfect smile” they have always dreamed about. What about those patients who choose not to go that extra step for that perfect smile?

What Is Snap On Smile?

Snap on smile is a revolutionary solution for many cosmetic dental issues. The beauty of the snap on smile is that it is a totally reversible cosmetic dentistry option. The snap on smile is much more affordable than porcelain veneers or porcelain crowns. In general, the snap on smile procedure costs as much as a single porcelain crown.

Snap on smile is a removable arch of “teeth” which is designed to snap over the existing teeth. The snap on smile removable appliance is made from an extremely strong dental resin. It can be used as a short term or a long term cosmetic dentistry option. The following are the steps involved in the fabrication of a custom snap on smile:

-Dental Impressions. This will include impressions of the teeth, photographs, along with a bite registration. A bite registration allows the dental lab to know the relationship between the upper and lower teeth. At this visit you and your dentist will also pick out the style, shape, and color of your new smile.

-Dental Laboratory. The information gathered by the dentist is then sent off to the dental laboratory. The dental technician will digitally create the custom made snap on smile.

-Snap On Smile Insertion. Following fabrication by the lab technician, your dentist will then place the final product over your teeth. The snap on smile pops right in over your own teeth and fits perfectly.

The snap on smile is so simple to complete without the need for removing any of your natural tooth structure or need to use any anesthesia. The beauty is that it is completely removable at any time with no effect to your natural teeth.

Common Snap On Smile Questions

-Will Snap On Smile Affect My Speech? It usually takes about 2 weeks to get used to the new teeth and speak as yo did before.

-Is It Covered By My Dental Insurance? Snap on smile is considered a cosmetic procedure and is therefore not covered by dental insurance.

-Will It Stain? Your dentist will supply you with special snap on smile cleaning supplies. This kit includes a cleaning solution and an antibacterial gel. Using this kit regularly will help keep your new smile looking like new.

-How Long Does It Take? The entire process can be completed in as little as 3 weeks. The initial appointment (includes photos and impressions) should take 15-20 minutes. The laboratory needs about 2 weeks to complete fabricating your new snap on smile. And the final appointment is a short one ensuring proper fit and comfort.

-Is There A Warranty? There is a 1 year warranty, but an extended warranty can be purchased.

-Can I Cover All Of My Teeth? Upper and lower snap on smiles are available, however most people choose to do the upper only.

-Can I Eat And Drink While Wearing My Snap On Smile? Yes, your new smile is designed to wear during eating and drinking. However, be aware your new smile can stain just like your real teeth if not cleaned properly.



Teeth Whitening is a common procedure in general dentistry but especially so in the field of cosmetic dentistry. There are different types of teeth whitening including in

Internal Bleaching Marielaina Perrone DDS

Internal Bleaching Can Make You Smile Again!

office and at home options like the use of teeth whitening strips. But did you know there was a procedure available to perform a deeper teeth whitening from the inside of the tooth out? This procedure is commonly known as internal teeth whitening or internal bleaching. Internal bleaching is used to lighten a discolored tooth that has had root canal treatment.

Internal bleaching is a more conservative option compared to restoration with veneers or crowns, but is sometimes used to lighten teeth before the application of these techniques to prevent the discoloration of the natural tooth from showing through. In addition, porcelain veneers or crowns may be required not only to achieve improved color, but also to strengthen a root canal treated tooth.

How is Internal Bleaching Performed?

Internal bleaching is a dental method of whitening a single tooth from the inside out. First, root canal therapy is performed to remove any dental pulp that is infected. Then, a safe sodium perborate paste is placed deep inside of the tooth. This sodium perborate reacts with stains and dissolves their particles, making the teeth appear whiter.

Internal bleaching is a dental technique that is used to lighten the color or whiten the appearance of a tooth or teeth. Internal bleaching is only to be done under the direct supervision of a dentist. This is because the procedure involves inserting a chemical oxidizing agent directly into the tooth.

Internal Bleaching Before Marielaina Perrone DDS

Internal Bleaching Before

The internal bleaching procedure is performed on a non vital tooth that has received root canal treatment. The root canal treatment could have been the result of infection or dental trauma. Whatever the reason, the tooth in question did not require a crown and has maintained its natural tooth structure. When a tooth dies or becomes non vital it loses the blood and nutrient flow to it. This sometimes results in a changing of tooth color to a darker shade than the surrounding teeth.

Following completion of root canal treatment, the dentist will place a chemical oxidizing agent into the chamber of the tooth and leave it there for about 2 weeks time. This process can be done a few times over that 2-3 week period until the tooth achieves the level of whiteness desired by dentist and patient. Once the color is correct, the opening is sealed closed with a white tooth colored composite filling to keep out foreign matter and bacteria that could cause further problems.

Internal Bleaching After Marielaina Perrone DDS

Internal Bleaching After

Internal bleaching may be used by itself for whitening teeth or  in combination with exterior teeth whitening products.  Your dentist will evaluate the current condition of the teeth and determine if it is necessary to make use of two different kinds of teeth whitening procedures at the same time. When it is decided to use both products at the same time, the dentist will choose two products that are compatible to one another so that they do not interact poorly with one another. If chosen incorrectly, the interaction between the two bleaching products could ultimately damage the teeth they are designed to treat.

How well does Internal Bleaching work?

Internal bleaching is very effective for whitening teeth that have been damaged by trauma or infection. The process allows the dentist to focus on one tooth to raise its level of whiteness back to the level of the other teeth to give a more natural appearance overall.

Internal Bleaching Conclusion

Anyone who has had a tooth turn color after receiving root canal treatment can understand the difference between natural, undamaged, tooth structure, and dark, non-vital, tooth discoloration. While internal bleaching is very specific in it’s applications, it is an easy choice for someone with a dark front tooth. Internal bleaching is a great tool for cosmetic dentists to restore one or more teeth back to their natural white condition. It is a fairly simple procedure with great reward. If you have a tooth that does not whiten as all the others do, ask your dentist about internal whitening, and see if this is an option for you.

internal bleaching