Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

Getting off to a good start is true for many things but it is especially true in dental care. Building the right habits early in life will pay big dividends as our children get older. These habits will allow your children to maintain a healthy smile as a child and as an adult. Not only will their teeth be healthier but so will their entire body. Self care is one of the most important lessons a parent can teach a child.

Pediatric Dental Care Tips

-Start Early. Many parents falsely believe that since primary teeth will fall out anyway that they are not important. This is totally false. A child’s dental care begins when that first tooth erupts into the mouth. These teeth will be small but can be brushed with a soft infant toothbrush or a wet washcloth. The general rule of thumb is the first dental visit should by at or around age 1. These visits will be educational for the parents but also allow the child to feel comfortable in the dental office. Early treatment will also save you money over time as you will catch any issues early and also learn proper prevention techniques.

-Include Your Child. As your child matures they can handle more of the responsibility of dental hygiene. They will feel good about themselves and feel like a big kid if they can accomplish these simple tasks. Some good tips to get them to brush properly include playing their favorite song while they brush or even give them a small reward when they do a good job. Many parents simply allow their children to brush on their own. This can be a big mistake. You need to check that they did a good job especially early on.

-Nutrition Is A Factor. Eating right will not only help your childs growth and development but it will also help with their dental health. Eating a balanced diet will help your child’s teeth to develop properly becoming strong. Limit the sugars that they eat but know it is impossible to avoid sugars totally. If your child does snack on a sugary treat make sure they brush and rinse after finishing. This will minimize the chances of tooth decay developing.

-Beware Of Medications. Many children’s medications have a lot of sugar in their ingredients. This gives childrens medicine their better taste and make them easier to drink. So beware of this and make sure your child rinses with water following taking their medications or even better brush following. Another tip is for children with asthma. Asthma inhalers will develop bacteria over time and need to be cleaned daily. These inhalers will also dry out your child’s mouth which can lead to tooth decay as well. Our saliva is our natural defense against tooth decay.

-Stop Pacifier Use By Age 2. Pacifiers are very dangerous to your child’s teeth as they get older. Continuing pacifier use past age 2 could lead to malocclusions (crooked teeth with an open bite).

-Rethink Your Child’s Drink Choice. Many children enjoy juice and use a sippy cup until they are old enough to use a regular glass. You should never let them fall asleep in their crib with a juice cup. It will lead to what is called baby bottle tooth decay. Giving juice to your child is totally ok but do not allow them to sip slowly on the juice cup. It is best to finish it all at once and then rinse with water or brush. Milk is actually the better choice if the child will drink it.

-Beware Of Teeth Grinding. Teeth grinding is quite common in children under the age of 7 years old. It usually stops on its own with no damage to the teeth. If it persists, call your dentist to evaluate the cause of the issue. Many times it can be a change in routine, or a problem at school that they are unable to communicate properly. Children who are hyperactive or have certain medical conditions, such as cerebral palsy, may also grind.

Pediatric Dentistry Conclusion

Maintaining good dental health for our children can be challenging for many parents. The results are worthwhile as your children will be happier and healthier. As always visit your dentist regularly for regular dental examinations and professional cleaning.

Many people assume that a baby’s teeth  are not important to care for because they will fall out eventually. This is simply not so. Not only can breakdown of these primary teeth cause severe discomfort and infection to your child, they can also have far reaching consequences into adulthood. As a matter of fact, in many ways, the primary teeth are just as important as the permanent teeth. Below are the top reasons why!

Caring For Your Child’s Teeth

-Function. The primary function for any tooth whether it be primary or permanent is to chew and break down food for nutrition. Without teeth, it becomes extremely difficult to eat most hard, crunchy, healthy foods. No one wants their child to suffer the pain or embarrassment of tooth loss due to decay or infection. It may take years for the next tooth to emerge and allow him or her to eat properly again.

-Development. Our teeth are essential in the development of a growing child. The growth of the jaws are triggered by the teeth. The teeth give the body a guide with which to grow from. Without this guide, there could be significant growth issues of the face, jaw, and bite. Also, without the primary teeth as space holders, the permanent teeth will have no room to enter into the mouth and cause crowding issues which can lead to periodontal disease, tooth decay, and occlusion issues. Some of these problems may be correctable with orthodontics (braces) and possibly a retainer, but some require further tooth loss, and possibly surgery. Most of these corrective measures are quite expensive. Taking the time to care for the baby teeth to prevent these problems is a far less costly and helps keep your child healthy.

-Preventing Pain and Discomfort. Tooth decay is quite prevalent in today’s American child. This can be easily prevented with proper dental hygiene maintenance and a healthy diet. When tooth decay does occur, it is best to get it fixed right away,when it is small, and before the child even notices it. Tooth decay can progress quite quickly if left untreated, especially in primary(baby) teeth. If left untreated, tooth decay will cause pain, infection, and discomfort to your child as well as a more expensive option to repair (like tooth extraction, baby root canal or a stainless steel crown).

Infections in the baby teeth can lead to long term problems in the gums.  Infections can also  cause problems with the development of the permanent teeth.

-Learning Tool. Baby teeth are the ultimate training ground for your children. It gives them a chance to learn good oral hygiene that will carry over into adulthood. Teaching them proper techniques and habits will be a lesson that will serve them well as they grow older into adulthood and beyond. These habits should include brushing, flossing, rinsing with an anti bacterial mouthwash, choosing healthy snack and meal options, and visiting the dentist at least twice a year.

Conclusion

Baby teeth are often misunderstood in their role of development. They are very important in a child’s development and should be treated with the utmost care. With proper care, a child will be proud of their smile, and have easy, fun, informative dental visits. If issues do arise, they should be treated early. The dentist and parents should be partners in a child’s dental care.

Cosmetic dentistry is often perceived as an adult only option in dentistry. While that may be the case most of the time, cosmetic dentistry options for kids do exist. Most of these cosmetic dentistry options for younger patients tend to be minimally invasive.  Cosmetic dentistry for children is a delicate balance between changing a smile and the growth of the child. Adult procedures generally do not translate well to children. Children are still growing, so that must be kept in mind at all times. Usually at this stage, you want something that is only semi-permanent.

Minimally Invasive Dentistry

These procedures are the best option for most younger, still developing patients. Removing tooth structure is permanent so it is wise to consider the long term implications. Minimally invasive cosmetic dentistry strives to conserve healthy tooth structure by allowing the dentist to perform the least amount of dentistry possible. This entails never removing more tooth structure than is required to restore teeth to their optimal condition.

What are the best options for minimally invasive cosmetic dentistry for children?

-Dental Flipper. This procedure is used  if a child loses a tooth do to trauma or tooth decay, because a dental implant is not an option before age 17 or 18.   The traditional option has been to create this removable appliance (called a flipper) with a fake tooth on it. This appliance may help with self confidence, and speech if more than one tooth is missing.

-Dental Bonding. Bonding is generally used to repair decayed teeth, while restoring their natural color and shape.

-No Prep Veneers. This type of cosmetic dentistry veneer is placed over the existing teeth with bonding. No tooth structure is removed and the veneers can be removed at any time.

-White crowns. In the past, stainless steel crowns have been used to restore broken down primary teeth. There are new, highly cosmetic, white crowns which can be utilized in the same manner.

-Teeth Whitening. This is not recommended in younger patients. If the patient and parent are to request this, it is usually recommended to wait until the teenage years. In some instances this is a viable option to correct a tooth that has discolored due to trauma.

-Limited Orthodontics. Early intervention orthodontics can be considered minimally invasive in some cases. Bringing teeth in line not only improves ones cosmetic smile but it also makes it easier to maintain dental health. Teeth that are crowded will be much more difficult to keep clean.

Cosmetic Dentistry Conclusion

Cosmetic dentistry can be a great option for children if tailored to their current and future needs. As our younger patients age, they become hyper aware of their bodies and may request changes that may or may not be possible. This awareness will affect a child’s self esteem and self confidence, so if a cosmetic dentist can make minimally invasive changes then, large positive results may be incurred. Cosmetic dentistry procedures can give a tremendous boost to the young patients as they mature into young adults.

Dental Crowns Marielaina Perrone DDS

Not All Dental Crowns Are Created The Same!

Dental crowns are a type of dental restoration which completely covers and protects a tooth or a dental implant. Dental crowns are often necessary when a large cavity has destroyed  a good portion of the tooth, leaving it easily fracturable. Dental crowns will restore its shape, strength, and improve its cosmetic appearance. Dental crowns are typically bonded to the tooth using a specialized dental cement (in dental implants they are sometimes screwed in place). Crowns can be made from many different types of materials. Dental crowns are generally custom fabricated using indirect methods.

 Types Of Dental Crowns

Permanent dental crowns can be made from stainless steel, all metal (such as gold or another alloy), porcelain-fused-to-metal (also called a PFM crown), all resin, or all porcelain.

-Stainless steel. These short term use dental crowns are  pre -formed metal shells.They are used on permanent or primary teeth generally for a few years, or as a temporary. The temporary crown protects the tooth or filling while a permanent crown is made from another material. For children’s teeth, a stainless steel crown is commonly used to fit over a  tooth that’s been prepared to fit it. The crown covers the entire tooth and protects it from further breakdown. This type of dental crown also serves another purpose, to hold space in the mouth for the permanent teeth to move into. When the primary tooth eventually falls out of the mouth, the crown comes out with it.

-Metal Alloy. These dental crowns can include crowns made of gold , other precious alloys (for example,platinum, palladium), or a base-metal alloy or non-precious (for example, nickel or chromium). Purer gold is the softest yet easiest to get ideal fit, while non precious crowns are variable in hardness and strength. Non precious dental crowns tend to make the underlying tooth black as,over time, metals leach into the tooth, they may also have a very metallic taste.  Metal dental crowns can be made very thin. This allows for minimal tooth structure to be reshaped in preparation for the crown. Another advantage is, that metal crowns are not as hard as porcelain. This “softness” causes much less wear on the opposing tooth. Metal dental crowns do not break or chip and tend to withstand biting forces well over time. However, metal crowns are not very cosmetic, can wear through, and generally are reserved for the areas not visible in the smile line.

Dental Crowns Marielaina Perrone DDS-Porcelain-fused-to-metal (PFM). These dental crowns are the most widely and commonly used. They have the benefit of good fit and underlying strength from the metal.The underlying metal alloy may be any combination of precious or non precious as mentioned above. These dental crowns are more cosmetic, and are fabricated to match the color of the surrounding teeth. However, the porcelain outer layer will cause more wearing to the opposing teeth than a metal crown. The porcelain portion of the crown can also chip or break off over time. PFM dental crowns can be highly esthetic and look just like your natural teeth when prepared properly. Over time, with gum recession, a dark line may become visible at the gumline. This is the underlying metal of the crown. Depending upon where it is in the mouth, it may become a cosmetic problem. These dental crowns are able to be used for any teeth in the mouth.

-All ceramic, all porcelain, all resin. These dental crowns are the ultimate in cosmetic crowns. These provide better natural color match than any other crown type. These are also a good choice for patients with metal allergies of any kind. However, some are not as strong (example, Belle Glass) as porcelain-fused-to-metal crowns, some are stronger (example, Bruxzir crowns). These dental crowns tend to wear down opposing teeth more than metal crowns would. Because of the lack of metal, there will never be a black line to worry about.  All porcelain crowns are the perfect choice for front teeth cosmetics, or any teeth that will be easily seen when smiling.

Dental Crown Tips

So, you have been told you need a crown to restore a tooth? The following are some things to ask or check on with your dentist to ensure you are receiving the highest quality care that will last over the long term:

-American Made? Many dentists  save costs by resorting to using dental laboratories overseas in places like Costa Rica and China. They tend to be made with cheaper materials and lower quality recycled dental metals and porcelain. Ask your dentist where your crown is being fabricated, along with the laboratory slip to tell how much gold content or type of porcelain is being used.

-How long should it last? Is there any warranty for breakage? Dental crowns generally last between 10-15 years with proper oral hygiene, if a dental crown is madeDental Crowns Marielaina Perrone DDS with inferior materials you can expect breakdown in half that time. Some labs will warranty a crown for up to a year. Especially important if you have chosen a ceramic, resin, or porcelain type crown. ask your dentist about this.

-Lab Created Provisional Dental Crowns. Sometimes to help you make decisions especially in a cosmetic area, a dentist may have a dental laboratory make a trial or provisional crown. This type of dental crown is generally made if there is healing required before the final processing of your new crowns. With lab created temporaries, you can literally see what your permanent crown (shape and color) will look like and whether it blends well with your smile. It also helps you determine if it is compatible with the health of your gum tissues and whether or not you can eat and talk normally. With a provisional crown (as opposed to a routine temporary crown), all the details are worked out ahead of time. There usually is an additional charge for this extra step as there will be a laboratory fee involved as well as extra chair time with dentist. Once you approve, your final crown is custom made to match the blueprint provided by the provisional, except that the final materials are stronger, of better quality, and look far more natural.

-Always ask to see the crown before it is placed permanently in the mouth! This should be something most dentists do anyway but not all will. You want to ensure shape and color are to your liking before it is placed in permanently. If the color is off or does not feel right voice your concerns. If you truly are not happy with something that cannot be adjusted chair side ask for the crown to be remade. Crown aesthetics can be very subjective, and their beauty is very much in the eyes of the beholder. Both your input and your dentist’s professional experience should come together in giving you the smile you want.

Conclusion

Each and very dentist has a professional responsibility to treat to the standard of care for a particular dental procedure. Even if some dentists may use inferior products or dental laboratories they are still responsible that the dental crown fits properly and functions as it should.

Not all dental crowns are made the same,and not all dentists, or their labs, have the same skill, training, or experience. A well trained dentist will have no problems preparing and inserting a good functioning dental crown. It takes a skilled dentist and lab to make it look natural, without anyone knowing you even have a crown in your mouth. Dentistry ultimately is an art and choosing the right dentist for you will create a happier, healthier smile.