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.




Braces have become a part of life for many of us. In the past, braces were generally thought of as a treatment for kids. Now, with changes in the appearance of orthodontic appliances, and speed of movement, Orthodontics are being utilized frequently by teens and adults. The days of being too old for braces are long gone. There are a myriad of options for orthodontic treatment today to make them as esthetic as possible with shorter treatment lengths. While teeth are being moved, inevitably the mouth, lips, chin, and cheeks are effected. The question is…..Can Orthodontic treatment change a person’s facial appearance?

Upon completion of orthodontic treatment, many patients will notice a slight change in their facial appearance. The bigger change will occur when smiling fully, as this will show off the new found symmetry of your smile. The change will be more noticeable if the original issue was more severe.

 Corrections That Can Change Facial Appearance

-Overbite Correction.  Prior to tooth movement, an overbite causes the upper lip to protrude. In extreme cases the upper lip is so far advanced that the lips do not fully cover and close the mouth at rest. In profile the upper lip flares and the convexity of the mid face is pronounced. After movement, the area from nose down to chin flattens and the appearance softens.

-Underbite Correction. Prior to tooth movement, an underbite causes the chin to protrude and lower lip to retrude, giving your profile the “Moon Shape”. After movement, the face loses much of the concavity. This helps to flatten and soften the features, bringing the lips together more harmoniously. Underbite correction may or may not require surgical assisstance.

-Open Bite Correction. Prior to correction, the mouth and lips may seem a bit overstretched. In more severe cases the lips do not touch at rest. After movement, The mid face appears more relaxed and the lips come together at rest. Severe open bite may require surgery to be fully corrected.

-Jaw Expansion. There are times where a patient is born with too little space in one or both arches.  The middle of the face may be narrow, and cheeks a bit hollow. If space needs to be opened, a device is custom fabricated called an expander. If it is used on top it is called a palatal expander and if used on bottom it is called a mandibular expander. Expanders are used more often on children but they can also be used on adults in coordination with surgery. The expansion is usually done in very small increments and usually will go unnoticed by many. A more symmetrical smile and wider midface results at the end.

Orthodontic Treatment Conclusion

Orthodontic treatment can change a person in many dramatic ways. These changes include a fuller smile, straighter teeth, and balancing out one’s face. The changes to a person’s face are usually slight unless surgery is involved.  The profile is what changes the most. When teeth are in proper alignment, the profile of a person will be more in line with the rest of their facial features creating a more balanced look.

The facial changes can usually be predicted. Ask your dentist what changes you can expect.




A beautiful smile is important to many. For many adults with misaligned teeth there are easy excuses to avoid orthodontic treatment. Typical response for many is….”I am too old” or “Orthodontics take too long”. With recent advances, cosmetic orthodontics can become a reality for many who put it off. Below you will find some common questions about cosmetic orthodontics.

Common Questions About Orthodontics

“I am just too old for braces. Braces are for children.”

An important note to remembet is that you are never too old to feel better about yourself. Improving your smile with orhtodontics will make you feel better about your appearance. There is no age limit for adults with a healthy periodontal condition to undergo orthodontic treatment. Cosmetic orthodontics lets you have the perfect smile you have always wanted without putting your life on hold. FACT: One out of every five orthodontic patients is an adult.

“I have previously had braces. Will they just move again?”

The key to aftercare is retention. A fixed retainer is necessary to be worn for a period following treatment to allow the bone to remodel properly. A good way to think of this is that retention is a protection of your investment.

“Orthdontics take too much time to complete.”

For many adults, cosmetic orthodontics can be completed in as few as six months. Depending upon the appliances used and the amount of movement required, treatment can be quite short in length. Six months can totally transform your smile.

“Orthodontic treatment can be painful.”

There should be no pain during orthodontics but there will be some amount of discomfort as your teeth move and you adjust to the brackets and retainers. Most of the discomfort is only for a few days at a time after an appointment. If the brackets or wires pinch or feel uncomfortable a small application of wax will alleviate the issue. A good tip is to take tylenol or alleve right before your appointment to ensure that discomfort is limited.

“Cosmetic orthodontics makes it more difficult to maintain your dental hygiene. Will this cause tooth decay?”

Good oral hygiene will take a bit more attention than it did before the orthodontic appliances were in place, but is very manageable with the right information and tools. Waterpiks, electric toothbrushes, fluoride rinses, and threader floss can make it much easier to keep everything clean and cavity-free.

“Orthodontics is too expensive.”

It is actually a cheaper alternative than a complete smile makeover. It is also much more conservative treatment as no tooth reduction is necessary. Also, for many smiles orthdontics are the only option to get the smile you want. Cost can be overcome using payment plans like CareCredit. This type of credit is offered by most dentists and can make any and all treatment easier to attain.

Cosmetic Orthodontics Conclusion

Using orthodontics can make a huge difference in a smile. For many it will actually be an easier way to achieve the smile of your dreams. Talk to your dentist about orthodontic options and see if they are right for you.

Cosmetic Dentistry is about more then a white, perfectly aligned smile. For many of us, we may believe we have one or more flaws we might want changed or adjusted with our current smiles. These smile flaws can effect a person’s self esteem as well as a person’s self confidence leading to a lower quality of life. Cosmetic dentistry gives you the ability to make small corrections or even major transformations to your smile to boost confidence and self esteem. These changes can have a major impact on your entire life including work and personal relationships as you feel more confident about yourself.

Is A Perfect Smile Possible?

Everyone has a different idea of what a perfect smile is. So every cosmetic dentistry consultation with a well trained, experienced cosmetic dentist should begin with you telling your story to your dentist about what you are looking for in a new smile. Your cosmetic dentist will complete a thorough examination of your teeth, periodontal tissues, jaw alignment, and facial features along with taking impressions for study models. These study models can be used by your dentist to make adjustments to your smile so as to give you a visual reference of what your new smile might look like. This examination will allow your dentist to explain to you what can be done to keep a balance between cosmetics/esthetics and function and give you multiple options to choose from to achieve the look you want. It is important to note that it is imperative that you keep open lines of communication with your dentist throughout the entire process. If you are not happy with any part of the treatment plan options or the cosmetic dentistry treatment selected, you need to let them know so changes can be made.

Common Cosmetic Dentistry Changes

Straighter Teeth

Adult orthodontics have seen tremendous advancements over the last decade. Long gone are the days of wearing braces for several years to give you the smile you want. The newest development is the six month smiles system. This system uses tooth colored materials so that no one will notice you are undergoing orthodontic treatment. This treatment can transform your smile, giving you straighter teeth in an average of six months or less.

Teeth Lengthening

As time passes and every day use, our teeth change. These dental changes include becoming shorter. This can change your smile from a youthful one to one making you appear older. Lenghthening your teeth back to their natural dimensions is possible with porcelain crowns, gum contouring, and porcelain veneers. These options will add length and structure to your teeth making your smile look the way you always imagined. These changes may also reduce wrinkles around the mouth.

Teeth Whitening

A whiter, brighter smile can light up a room and give the appearance of vitality and youth. This is probably one of the easiest and most cost effective cosmetic dentistry procedures available to you. There are generally two types of teeth whitening – in office and at home treatment. The in office treatment is faster and highly effective, the at home products may take a bit longer but will still give you a whiter, brighter smile.

Restore A Lost Smile

Over time, tooth decay and periodontal disease can wreak havoc on our smiles. Our teeth can break down, shift, create dark spaces, or even be lost. To restore a lost smile, cosmetic dentistry can offer porcelain crowns, bonding, and dental implants to give you a full smile.

Cosmetic Dentistry Procedures To Change Your Smile

-Teeth Whitening. This has become a billion dollar cosmetic dentistry business with products ranging from in office whitening to at home whitening with customized dental trays, whitening strips,  paint on gels and even whitening toothpastes and rinses. The differences between the types has to do with speed and depth of whitening. Teeth whitening can have a dramatic effect on almost anyone’s smile for a relatively low cost and minimal time involved.

-Dental Implants. Missing teeth can make you feel uncomfortable when smiling, feel socially awkward, or may make you appear older than you actually are. Replacing lost teeth can be done with extremely natural results. Dental implants are a great way to achieve cosmetics, strength, and durability.  Dental implants can be used to replace a single tooth or multiple teeth. The best part is, once restored, the dental implants will often last a lifetime.

-Tooth Bonding. This cosmetic dentistry procedure involves reshaping and blending teeth. Bonding utilizes tooth colored materials that can be bonded to teeth to change shape, color, and length. This same material can also be used to fully cover the front surface, (called a composite veneer). Tooth bonding can generally be completed in one visit, and is less expensive than porcelain restorations.

-Porcelain Veneers. While the initial cost is higher than some other cosmetic dentistry options, this may be cost effective if extensive changes need to be made. Porcelain veneers can change shape, color, length, and even correct minor misalignments of teeth. This will last a long time, will not stain, and is a very strong, natural looking material. The veneer is also a conservative restoration as it generally only requires minimal enamel reduction, and sometimes no reduction.

-Porcelain and Zirconia Crowns. These types of crowns combine strength with the most cosmetic options available. They are made from modern dental porcelain materials that range in strength and esthetics. If done properly, no one should ever be able to tell a porcelain crown from a natural tooth. Modern porcelains possesses strength, color properties, and light reflection properties that very closely mimic our natural teeth. Porcelain crowns can be used to change bite alignment issues as well as change alignment of front teeth which are more extreme such as those issues that porcelain veneers alone cannot fix. More natural tooth structure needs to be removed in preparing a porcelain crown vs a porcelain veneer.

-Snap On Smile. This is a newer, far more conservative way to improve your smile without any permanent dental work. All that is required is having your dentist take impressions or molds of your teeth, select a color, and the dentist sends impressions off to a lab to have your snap on smile fabricated. Once the snap on smile is complete, you simply clean your teeth, apply a fluoride gel inside, and slip it on over your teeth. You can talk, eat and smile naturally.

Marielaina Perrone DDS Botox-Gum Contouring. For those with a gummy smile, this can be the ultimate confidence booster. This cosmetic dentistry procedure is generally done in one visit and can give incredible results for many with an overly gummy smile. Gum contouring simply removes the excess gum tissue and reshapes the gums to ensure you obtain the desired look. For some, this may require reduction of bone also, in this case, it is recommended that you see a periodontal surgeon. This will offer you the best chance of success.

-Tooth Recontouring. Changing the shape or alignment of teeth in a minor way can have a dramatic effect on a persons smile. Tooth recontouring involves removing small amounts of tooth structure from edges of teeth to correct a tooth that might be misshapen or slightly misaligned.

-Orthodontics. Minor tooth movement can be completed in weeks to months by your cosmetic dentist to bring your smile in line and allow for a better harmony between your smile and function. If further movement is necessary, your dentist may refer you to an orthodontist for more extensive treatment.

-Botox and Dermal Fillers. These are newer additions to a cosmetic dentist’s arsenal of techniques. A well trained dentist in the art of botox and dermal fillers can place the finishing touches on a new smile by softening wrinkles and skin around the mouth, forehead, and eyes. Giving a much younger appearance in facial and dental appearance!

Cosmetic Dentistry Conclusion

The beauty of cosmetic dentistry is that only you and your dentist should ever know it was done. A well trained cosmetic dentist can create a smile that is both beautiful and natural looking. There are so many ways in cosmetic dentistry to make changes to your smile. Talk yo your dentist to see what will work best for you.

Undergoing orthodontic treatment can be a very challenging time for adults and young children. One of the big questions, after you find out how long you’ll have to wear them, is… Will I have to change what I eat?  Unfortunately, both children and adults will need to avoid certain foods or treats while undergoing orthodontic treatment.  Certain foods cause problems with orthodontic braces, and knowing what they are so that you can find alternatives, will make for an easier course of treatment. Eating or drinking the wrong thing can lead to brackets or wires breaking loose, tooth decay, and unsightly staining during orthodontic treatment.

Foods and Habits To Avoid

It is always recommended to follow a well balanced diet as this will give you the most benefit in your overall health as well as your dental health. The following are the types of foods to avoid to give you the best chance for orthodontic success: -Avoid Sticky and Sugary Foods. Cutting back on hard (nerds), sticky (milkduds), and gummy candies, white bread, donuts, oreos, etc. are always a good choice even without orthodontic braces. While wearing orthodontic brackets and wires theses sticky and acidic foods will stay trapped between the brackets and wires. This increases the likelihood of developing tooth decay during orthodontic treatment. The stickiness can also lead to broken wires and brackets. -Avoid High Acid/ High Sugar Beverages.  Soft drinks with high acid and high sugar can break down the bracket bonds and cause loosening of brackets, staining and decay. Alcoholic beverages have higher acids, dry out the mouth and cause tooth decay. Red wine may cause staining of the teeth and adhesive bond material around brackets. -Eat Smaller Pieces Of Food. Cut your food into smaller pieces and avoid biting into foods if possible. Break pieces off with your fingers or use a knife and fork. This will make them less harmful to your braces. Large pieces of something as seemingly harmless as an apple can have the effect of breaking down your brackets and loosening them. Broken brackets require increased visits to the orthodontist and can potentially delay results. Biting into large sandwiches, gnawing on ribs or chicken wings, nibbling on a cob of corn, can all cause loosening of brackets.  A good tip is to cut the apple into smaller pieces, take the meat off the bones and slice the kernels off the cob. -Avoid Hard, Crunchy, Chewy Snacks. This includes popcorn, corn nuts, hard pretzels, beef jerky, bagels, pizza crusts. These can break orthodontic brackets and once again delay orthodontic care. -Biting Or Chewing On Non-Edible Items. Nervous habits can do harm to our braces. These can include biting on nails, pens or pencils, using tooth picks. -Bubble Gum. Bubble gum is the enemy of braces. It gets stuck inside all the grooves of the brackets and wires. -Ice. Chewing ice can damage the bond between your teeth and your braces. There is also a good chance you can fracture your teeth as well. -Highly Staining Foods and Smoking. If you are wearing clear (white) porcelain brackets, or any elastics, they can stain from red wine, tomato sauce, barbecue sauce, and cigarette smoke. While it may seem like all foods are harmful there are plenty of healthy alternative snacks that do not harm your orthodontic braces. These can include yogurt, jell-o, pudding, cheese, and even chocolate bars (without nuts of course).

Orthodontics Conclusion

Orthodontic care will lead to an improved smile as long as you follow good habits. You need to be diligent in caring for your braces and maintaining good at home dental hygiene. Follow the instructions from your orthodontist, and avoid harmful foods and habits. Doing your best should help you avoid many problems, wasted time, embarrassing staining of teeth, and dental decay. Visit your dentist every 3 months during orthodontic treatment and continue with routine dental examinations.