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.




The standard of care for professional dental cleanings has long been every 6 months. This still holds true today for most patients. Studies have repeatedly shown that those who goto regular dental visits are less likely to have the need for a dental restoration or to have a tooth removed.

Are Teeth Cleanings Necessary?

While for many at home care can be a breeze for many others it is a constant struggle. Our daily lives can get in the way of even the simplest tasks including our oral hygiene. Regular professional teeth cleaning removes plaque, the soft yellowish build-up, and calculus (hardened plaque) that we are just not able to get to. This soft build-up is made up of billions of different types of bacteria that live and reproduce in our mouth by feeding on the food we eat releasing acids that if left alone will damage our teeth and periodontal tissues.

Most bacteria co exist in our bodies without causing too much trouble to our health and well being. But certain bacteria in dental plaque, when they grow in numbers, can lead to tooth decay or periodontal disease.

A professional dental cleaning will reduce your chances of developing tooth decay or periodontal disease by significantly reducing the amount of plaque, calculus, and bacteria in your mouth.

How Often Is Acceptable?

As a dentist, my patients often ask me how regularly they should come in to get their teeth cleaned. My response is usually: “That depends”. For most of the population every 6 months is the right number. But there are those who just cannot maintain dental hygiene on their own or they develop calculus faster than others. So for those patients I will recommend a schedule of every 3 months. 2 extra visits a year to maintain your dental health should not feel like a lot. This will reduce chances of tooth decay and periodontal disease development in these patients over the long haul.

Factors Affecting Dental Hygiene

We know certain lifestyle choices can affect a person’s risk of developing tooth decay and periodontal disease. Following are some questions you may ask yourself to understand whether you are at an increased risk:

-Does your drinking water contain Fluoride? Is this your main source of drinking water?

-Do you frequently snack, including on sweets?

-Are you a regular flosser?

-Do you brush your teeth at least twice a day?

-Do you visit your dentist for toothaches rather than routine examinations?

-Have you had multiple teeth with tooth decay at your last few dental visits?

-Is your dentist “watching” a lot of teeth with early tooth decay?

-Do you have to wear a denture or undergoing orthodontic treatment?

-Do you develop excessive amounts of calculus quickly?

-Do you suffer from a chronic long-term health condition such as diabetes?

-Do you suffer from a xerostomia (dry mouth)?

If you were able to answer “yes” to most of the questions above, you are likely to need to see your dentist or hygienist at least every six months, if not more often based on your dentist’s recommendations. Following a professional cleaning, people prone to tooth decay can benefit from the fluoride treatment following removal of plaque and calculus. Studies have shown that professional fluoride treatment every six months can lead to about a 30% reduction in the development of tooth decay.

Dental Health = Overall Health

Some patients with chronic health issues such as cardiovascular disease or diabetes will need to see their dentists more frequently. This is because they are much more susceptible to periodontal disease.

Patients taking blood thinners and other medications, such as for osteoporosis, may need to visit the dentist more regularly as well. These medications can complicate the process of an tooth extraction or other dental work, so regular checks and cleanings are best to help detect problems before they become serious.

Financial Concerns?

The cost of seeing your dentist and dental hygienist 2-4 times per year will be far less than restoring your teeth over the long run. Routine dental health maintenance is the best insurance you have to maintain a healthy smile.

Protecting your smile

Parents often wish to set a good example for their children by making regular check and cleaning appointments for the whole family. In the end, only you can choose what you feel is right for you. Maintaining a healthy smile that will last a lifetime is important to most people.

Tooth decay can affect a single teeth or multiple teeth. The oral bacteria responsible for tooth decay live all over your mouth ready to attack day and night. This bacteria will not just go away and they can even be passed onto your children and loved ones through kissing. Can tooth decay be prevented?

Fight Back Against Tooth Decay

Preventing tooth decay is an achievable goal by following the steps below:

-Regular Dental Examinations, Professional Cleanings, Great Homecare. Regular maintenance will increase chances of finding tooth decay at its earliest and also to ensure you are doing a good job at home with your dental hygiene. Professional cleanings will remove plaque bacteria, tartar, and tooth pellicle (protein layer that forms on the teeth) to aid in healing gum tissue and decrease bacteria. Brushing, flossing, and rinsing properly will help maintain a healthy oral environment.

-Lower Levels Of Harmful Oral Bacteria. The only way to naturally eradicate cavity-forming germs is with xylitol. You only need 1-2 teaspoons a day (in small doses), but you need xylitol at opportune times –when cavity bacteria multiply. Mouth germs flourish after meals or when your mouth is dry or acidic. Xylitol can eradicate 92% of cavity-forming germs in an effective, progressive way.

-Maintaining A Well Balanced Diet. Limiting sugar intake is a good first step. Selecting healthier snacks and limiting snacks is even more important. Some good, tooth-friendly snacks are cheese, nuts, and vegetables. Another plus to a healthy diet is that you will feel better and have more energy.

-Maintain A Balanced Oral Cavity. Our saliva works hard to maintain a balanced oral environment by rinsing away oral bacteria and buffering acidic drinks. Acid is a by product of oral bacteria and weakens tooth enamel directly. Acids ingested through eating and drinking will weaken teeth by dissolving important minerals out of them. When  the enamel is weakened enough, tooth decay will begin. This is why it is so important to brush and floss after every meal. If you cannot brush, rinse your mouth with water to help neutralize the acids in your mouth.

-Attempt To Strengthen Enamel. Luckily, it is possible to naturally repair tooth decay in its earliest form. A tooth can be “remineralized”, meaning minerals can be added back to the tooth to stregnthen it. This is only helpful when tooth decay has not penetrated deeply into the tooth. Once decay progresses into the underlying layers it is too late to strengthen. Xylitol and fluoride may be used to remineralize teeth.

-Know Your Medications. Many prescription (and even over the counter) medications can decrease saliva causing dry mouth (xerostomia). It is important to practice extra diligent dental hygiene if you know you have dry mouth.

Conclusion

For many of us, tooth decay can be a real problem. There are many ways to combat tooth decay. Get to the source of that problem by investigating into what seems to be damaging your teeth. Once you know whether it is diet, frequent snacking, poor hygiene, high acids, low saliva, etc. You can then change your habits to prevent further tooth decay. Ask your dentist and hygienist for their help and input. They may be better at finding the problems and at suggesting solutions that will work for you.



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!



Periodontal disease begins its life in the mouth with inflammation and breakdown from periodontal bacteria. Abundance of periodontal bacteria  cause inflammation and infection. So, it makes sense that, antibiotics specifically geared toward periodontal bacteria, could offer some hope in bringing the disease under control. Antibiotics have been used for decades to fight many diseases but it has only been the past few decades where antibiotics have come to the forefront for the treatment of periodontal disease.

Indications For Antibiotic Use In Periodontal Disease

Indications for the use of antibiotic therapy in periodontal disease include the following:

-Periodontal abscess

-Juvenile periodontitis

-Rapidly progressive periodontitis

-Chronic periodontitis with persistent severe gingival inflammation

-Refractory forms of chronic or aggressive periodontitis

-Protection from subacute bacterial endocarditis

-When surgical therapy is not an option

-To control local sites of inflammation

-As an adjunct to conventional mechanical therapy

Some of the common antibiotics used include Amoxicillin, Metronidazole, Clindamycin, Doxycycline, and Azithromycin.

Periodontal disease usually can be attacked in many different ways but the main parts are always in place. This includes Professional cleanings along with maintaining good oral hygiene at home. Without those two elements, no amount of antibiotics will help stop the periodontal disease from progressing. The cause of the problem needs to be addressed first and that includes good oral hygiene at home.

Risks Of Antibiotic Use In Periodontal Disease

There are general and specific risks in the use of antibiotic therapy in periodontal therapy. These include:

-Allergic reactions (delayed or immediate hypersensitivity)

-Gastrointestinal problems

-Development of superinfections by unaffected organisms

-Development of resistant bacterial strains

How Are Antibiotics Delivered?

-Low Does Antibiotics – The theory behind using low dosages of antibiotics is not to kill the bacteria but change the way the body responds to the presence of infection. An important finding after years of research was that certain antibiotics (for example doxycycline) not only kill the periodontal disease causing bacteria but they also reduce the body’s production of collagenase. Collagenase is an enzyme naturally produced in the body that destroys gingival tissues. The main function of collagenase is to remove older tissue so it can be replaced with new tissues which happens over and over again in the course of a lifetime. However, when periodontal disease is present, the body overproduces collagenase causing the body to destroy old tissues as well as healthy tissues.

Doxycycline is one of those antibiotics that can combat collagenase enzymes even in very small doses. Periostat is commonly prescribed in dental offices for periodontal disease. Periostat is in capsule form containing just 20mg of doxycycline. Periostat has been shown to produce a reduction in inflammation with very limited side effects.

-Local Antibiotic Therapy - While systemic antibiotics have a very limited use in treating typical periodontal disease, there has been increased interest in local antibiotic delivery. If an antibiotic can be delivered directly to the pocket, without the patient having to take regular doses, there are far fewer side effects, and fewer chances of resistant bacteria forming. In addition, with direct local delivery, the concentration of the antibiotic at the diseased site can be 100 times greater than taking the medication orally.

The most used local antibiotic therapy includes Atridox, Arestin, and PerioChip.

Usually local delivery antibiotics are used in the Periodontal Maintenance phase of therapy. This is when isolated areas of the mouth seems to be worsening. Their use is generally not recommended during the active phase of treatment. Certain patient seem to respond better than others, so further research is needed.

Conclusion

It is very important to note that using antibiotics is not the main component in attacking periodontal disease. It is used as an adjunct to the traditional staples like professional cleanings and at home dental hygiene maintenance. Getting periodontal disease under control is the first step to maintaining a healthy smile for a lifetime.