Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

Cancer is never an easy disease to face. Many types of cancer are very treatable especially when diagnosed early. Oral cancer is one of those that are easily treatable in its very earliest stages. However, the prognosis changes dramatically once it progresses. Oral cancer is any cancer of the mouth and the pharynx. The most common oral cancer affects the squamous cells in your mouth and can spread quite quickly. If not diagnosed and treated in its early stages, oral cancer can spread, leading to chronic pain, loss of function, irreparable facial and oral disfigurement, and even death. Oral cancer accounts for about 40,000 diagnoses per year and 8,000 deaths annually.

Causes Of Oral Cancer

-Use Of Tobacco Products.

-Heavy Alcohol Use.

-Human Paplilloma Virus (HPV).

-Excessive Exposure To Sun.

Warning Signs Of Oral Cancer

-Presence Of White Or Red Patch In The Mouth Or On The Lips.

-Persistent Mouth Sore. Any mouth sore that persists longer than 10-14 days.

-Persistent Sore Throat. Difficulty swallowing or persistent hoarseness.

-Difficulty In Chewing, swallowing, moving the jaw or tongue.

-Numbness In The Tongue.

-A Constant, Unexplained Toothache.

-An Earache.

Oral Cancer Screening By Your Dentist

Your dentist should screen for oral cancer during routine dental examinations at least twice a year. A manual and visual examination is necessary. He or she feels for lumps or irregular tissue changes in your neck, head, cheeks and oral cavity, and thoroughly examines the soft tissues in your mouth, specifically looking for any sores or discolored tissues. The use of the Velscope oral cancer screening system has been proven to diagnose precancerous as well as cancerous changes in the tissue as early as possible to give you the best chance for recovery and survival from oral cancer.

Treatment of Oral Cancer

If during your dental examination your dentist finds anything suspicious they will recommend that you have a biopsy performed of that area. The biopsy of the lesion will be used to confirm the diagnosis of cancer. If it is confirmed that you do indeed have oral cancer you will probably be referred to an oral surgeon for removal of the tumors. Radiation or chemotherapy may be also used in the course of your treatment.

Oral Cancer Conclusion

If you have any concerns about your oral health or have any of the warning signs listed above, see your dentist immediately. As in any disease, an early diagnosis and treatment can make a huge difference. Survival rates greatly increase the earlier oral cancer is discovered and treated. So be vigilant and, even if you do not have any warning signs, visit your dentist for routine oral cancer screenings.

Many believe that periodontal disease is a disease that is solely based on genetics. My grandparents had dentures, my parents had dentures, so will I. The truth is, that genetics plays a role, but is not a sentence for dentures. There are risks and limitations in the progression of periodontal disease… Can each patient limit the risks of developing full blown progressive periodontal disease?….The answer is a resounding…YES! It takes a good oral hygiene regimen, knowledge of the current state of your condition, and frequent professional cleaning to keep our mouths in a healthy, disease-free state.

Risk Factors Of Periodontal Disease

Patient Caused Risk Factors

-Poor Oral Hygiene – This is an obvious one that each individual can control. Brushing, flossing, rinsing, and seeking regular dental care are essential steps to remain periodontal disease free and avoid progression beyond gingivitis.

-Age - Research has shown that older people have the highest rates of periodontal disease. The research shows that over 70% of Americans 65 and older have periodontitis.

-Smoking Or Tobacco UseTobacco use is linked with many serious illnesses such as cancer, lung disease and heart disease, as well as numerous other health problems. Tobacco users also are at increased risk for periodontal disease. Studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease.

-Poor nutrition- Eating an unhealthy diet will not supply you with the essential vitamins and minerals necessary for tissue healing and repair.

-Anatomy - The local anatomic risk factors for periodontal disease include:,

1. Furcation anatomy. These are the spaces between roots of molars.  In many instances, the entrance of  such furcations are restricted enough to limit access for proper hygiene maintenance. Risk factors for periodontal disease are classified according to their involvement in tooth furcations. A Grade I CEP presents with minimal projection of enamel toward the entrance of the furaction. A Grade II CEP approximates the entrance of the furcation, and the tip of a Grade Ill CEP is well within the furcation.

2. Common anatomic deformities. These interfere with a patient’s ability to effectively remove plaque biofilm which are one of the risk factors for periodontal disease. An example are Cervical enamel projections (CEP). CEPs are tooth developmental deformities of the CEJ found on molars.

4. Palato-gingival grooves (PGG). POGs are tooth developmental deformities of maxillary central and lateral incisors. They begin in lingual pits and extend vertically onto root surfaces. PGGs could, on rare occasions, extend to the root apex. PGGs are commonly associated risk factors for periodontal disease with increased gingival inflammation, plaque accumulation, and probing depth.

5. Open contacts, loss of interdental papilla, and food impaction. Open contacts between teeth may allow for easy food impaction. Food impaction is defined as the forceful wedging of food between teeth. Loss of the pointed papilla between teeth leaves another area for food impaction.

-Medications - Some drugs, such as oral contraceptives, anti-depressants, and certain heart medicines, can have an affect on your oral health, causing dry mouth, inflammation and gum tissue overgrowth. It is important to tell your dentist the medications you might be on so they can tailor a treatment schedule for your needs.

-Other Disease - These include cardiovascular disease, diabetes, and rheumatoid arthritis.  These diseases can interfere with the inflammatory process, causing healing problems, and may worsen the condition of the gums.

-Poor Nutrition – A diet without all the essential nutrients for our bodies to function can compromise our immune systems, decrease healing ability, and make tissue weaker and easier to breakdown. This will make it harder to fight off infection. Since, periodontal disease essentially begins as an infection, this lack of nutrition can make the periodontal disease develop and progress faster than it normally would. Studies have also linked obesity with an increased risk of periodontal disease.

Dentist Caused Risk Factors

-Overhanging dental restorations – A poorly completed dental restoration typically has dental material overhanging the tooth. This creates an issue keeping the area clean and also creates an area for food and bacteria to build up. These overhangs can be irritating to the tissues and retain plaque and food more easily.

-Violation of the “biologic width” –  is the height between the deepest point of the gum pocket and the bone. This distance is important to consider when fabricating any dental restorations, because they must respect the natural architecture of the gingival attachment if harmful consequences are to be avoided. These consequences include bone and tissue recession.

-Open contacts and food impaction - If a dentist places a new dental restoration and does not create the proper tight contact between adjacent teeth, that area becomes a food and plaque trap. It will necessitate improved dental hygiene in that area to keep it clean. More often than not, food and debris will accumulate creating a localized area of periodontal disease.

-Occlusal trauma – If a new restoration is not properly set in alignment with the other teeth, a patient can create damage to the tooth as well as the surrounding tissue just from the act of chewing. The bite should always be checked and adjusted after dental work to prevent trauma to an individual tooth.

Periodontal Disease Conclusion

Luckily, with the exception of the anatomy we are born with, all of these periodontal disease risk factors can be overcome. The first step is to practice good oral hygiene by brushing, flossing, and using an antibacterial mouthrinse. The second step is to choose a well qualified dentist and keep a regular schedule to help give you the best fighting chance at preventing,  treating and stabilizing periodontal disease.

We all see the movie star smiles in movies and at the news stands. A Hollywood smile is a pre- requisite for any A-list Hollywood star today. Image and appearance are

Cosmetic Dentistry Marielaina Perrone DDS

Cosmetic Dentistry Can Give You A Hollywood Smile!

everything! A brilliant, white smile shows up better on the big screen and in pictures.

Who Has The Best Hollywood Smile?

Surveys are done all the time regarding the best Hollywood smiles among actors and actresses. Below you will find a list of some of the usual suspects in these surveys:

-Anne Hathaway

-Taylor Swift

-Kate Beckinsale

-Tom Cruise

-Blair Underwood

-George Clooney

While the list above is not complete, these and many other A list actors have spent some time in a cosmetic dentist’s chair to achieve those bright, vibrant smiles.

What Cosmetic Dentistry Procedures Can Give You A Hollywood Smile?


Teeth Whitening

This is possibly one of the least expensive cosmetic dentistry options to make your smile shine. Our teeth can become stained by everyday activities like coffee/tea drinking, tobacco use, wine drinking, or cola drinking. As we get older, our enamel gets thinner, causing our teeth to become darker and less brilliant.

Teeth whitening products and treatments are able to whiten our teeth by removing stains and discolorations. Teeth whitening is the most popular cosmetic dentistry procedure in the world today.

There are two main types of teeth whitening: in office and at home. In office whitening involves application of whitening products to the teeth while in the dental office. Results up to several shades lighter are achieved the same day. The process is fast, and easy. At home procedures involve application of whitening products to the teeth by the patient daily, for up to 1 month. The at home process is slower to achieve results, generally less expensive, and also easy. Both cosmetic dentistry procedures are very effective, and can help you to achieve the whiter smile you’ve been dreaming of.

Porcelain Veneers

Porcelain veneers are also referred to as “instant orthodontics”. Porcelain veneers give the cosmetic dentist the ability to change the alignment of teeth, to alter shape (width and length), as well as change color.  Porcelain veneers are custom made ultra thin porcelain restorations that are bonded to the front surfaces of the teeth. Modern porcelain veneers offer a natural looking, beautiful smile.With proper care, porcelain veneers generally last between 8 to 12 years, but if cared for properly can last for much longer . The lifespan of porcelain veneers (and any dental restoration) depends upon your oral hygiene maintenance, the forces on the teeth(hard use, grinding), tooth decay, and regularity of dental visits.

Porcelain Crowns

Porcelain crowns give the cosmetic dentist the ability to restore a tooth to its natural look without the use of metal. This allows the dental laboratory to fabricate a tooth that

Cosmetic Dentist Marielaina Perrone DDS

A Flawless Smile Is Possible With Cosmetic Dentistry

reflects light just like our own natural teeth.  Porcelain crowns can be used on teeth that either already have crowns or need more extensive work (having large restorations or tooth decay).

Dental Bonding

Dental 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.


If you envy the smile of A-list celebrities, talk to your cosmetic dentist about the options available to you. Many of us are able to embrace our flaws while others choose to fix them. What makes you happy, will make you smile. So combine the two, be happy and smile more! Please remember, that before considering cosmetic dentistry, be sure you have your oral hygiene under control. It does not matter how nice dental work may look when completed, it will not last very long without good dental hygiene maintenance.

Maintaining good oral and general health requires us to keep the bad bacteria out of our bodies. Many of us have bad habits carried over from childhood that introduce us Cosmetic Dentist Marielaina Perrone DDSto harmful bacteria throughout our days.

The Dirty Dozen

1. Fingernails – Throughout the course of the day, our hands come in contact with a lot of dirty items. It is recommended we wash our hands before we eat and throughout our day to avoid catching colds or the flu. However, even hand washing can miss bacteria that lurks under the fingernails. This bacteria can easily be introduced into the body through the mouth when biting our nails. The best thing to do is to quit the habit, but it you are unable to, try to keep your nails as clean as possible, use a nail brush and pay extra attention to them when washing your hands.

2. Cigarettes, Cigars, Pipes (and tobacco products in general) –  smoking makes the list for the pure danger it is to our oral and overall health. Smoking  brings nicotine, tar, and carbon monoxide into our mouths and bodies. Tobacco use is a leading cause in the development of oral cancer.

3. Soda Cans - Who hasn’t wiped a can off with a towel before drinking from it? The answer is, most of us! Think of all the people who handle cans and all of the dirty places a can may have been in, and now take a minute to clean it off before putting your mouth on it.  The top of a can is just a dirty place chock full of bacteria.

4. Pens/Pencils – This is a childhood habit that unfortunately continues into adulthood for many. Kids in school love to play with pens and pencils while at their desk idling away the hours at school. So the pens go from back pack to desk to falling on the floor and into our mouths and they are never cleaned. A good tip is to wipe down pens and pencils with an antibacterial wipe.

5. Double Dipping At A Party, and Birthday Cake - If someone double dips into a dip at a party they are introducing bacteria into the dip. This bacteria will then get passed onto everyone else that samples that dip throughout the evening. Now, think about how most people blow out birthday candles. They are pretty much, spitting all over the cake, especially kids. This will not only contribute to possible foodborne illnesses but also transmission of bacteria from person to person. A suggestion, take a lit candle off the cake and blow it out away from the direction of the cake.

6. Kissing –  The bacteria responsible for periodontal disease and tooth decay is transferrable. Luckily, by the time we are adults we have already been exposed to most of this type of bacteria. Obviously, this will not stop us from kissing our loved ones but be smart and proactive. Avoid kissing someone who is sick with a cough, a runny nose, or poor oral hygiene.

7. Toothbrushes – Studies have found that flushing the toilet can spew bathroom-related bacteria into the air. For this reason, it is a good idea to store your toothbrush in a cabinet, or covered, and far away from the potential contaminants.

Cosmetic Dentist Marielaina Perrone DDS8. Water Bottle – Keeping healthy also means staying hydrated and drinking plenty of refreshing water. However, if you are using a reusable plastic water bottle you should be aware coliform (example E. coli) bacteria can coat the inside of the plastic bottle if not cleaned properly. Choose a wide-mouthed bottle for easier cleaning and drying, and choose a hard material that won’t get scratched during vigorous cleaning (example stainless steel). Along with regular washing, soak in a solution of bleach and water for two minutes once per week (and rinse and dry completely). As a side note, BPA is released from plastic bottles into the water, especially when the bottle gets heated, such as when left in the hot car or delivery truck. Try drinking from BPA free containers or glass.

9. Sharing Lipstick, Chapstick etc. – Whether it is sharing with friends or trying on a lipstick at the makeup counter. The bacteria, and viral buildup can be immense. Herpes can be transferred easily in this way. It is far safer to try the lipstick sample on the back of your hand to see its color.

10. Bar Snacks – These are notorious for being chock full of bacteria. Hand after hand reaching into the bowl. Many of those hands being unwashed especially after frequent trips to the bathroom. Steer clear of bar snacks unless you see the bartender put a fresh bowl out and you are the first one to indulge.

11. Biting off Tags, and Tearing Open Packages with Teeth - This may seem like an unlikely part of the list but clothing, and other items with tags,  ketchup packets, chip bags, etc. have been handled by many dirty hands. Most of us do not hesitate to put a bacteria ridden ketchup packet between our teeth and rip it open. There are so many items we place into our mouths without ever even thinking about how potentially dirty they could be.

12. Eating Food Off The Floor – Last but certainly not least, do not follow the 3 second rule! Any food that hits the floor should be thrown away. The floor is one of the dirtiest places in any location.


After reading the above list I’m sure you’ll think of quite a few other potentially dirty items that you may have exposed yourself to. Think about your hygiene, and the cleanliness of all items that go in your mouth, and you will keep yourself happier and healthier.