Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

In today’s modern world, dentistry comes in all forms. How do you know which dentist is right for you and your growing family? There are various specialties in dentistry and many of them overlap between different populations of patients. This overlap is very pronounced between family dentists and pediatric dentists. If you have  children, do you choose a dentist for yourself and a different one for your children?

What Is Family Dentistry?

Family dentists are trained to treat patients of all ages. Family dentists care for your child’s baby teeth, older child’s mixed dentition, adult teeth, and senior dental care. Everyone in the family going to the same dentist can be quite convenient. A child can become easily acclimated to the family dentist by simply watching and modeling another family member. It is usually a very easy transition.

Family dentistry provides preventative dental care, such as regular professional cleanings and oral cancer screenings, and other basic dental care that may be needed. It is important to schedule regular appointments for checkups, so that your dentist can catch any problems before they require the care of a specialist like an oral surgeon or orthodontist. Specialists offer advanced services like treatment of difficult root canals, periodontal surgery, bone surgery, braces, etc. While specialists are still used routinely many of these procedures can be done at the family dental practice. Most dentists will also take x-rays of the teeth on a timely basis to examine for cavities, TMJ problems, diseased tissues, and infection. Your family dentist can fill the cavities, use dental sealants to help to prevent cavities, monitor growth and development to evaluate need for braces, tooth extractions, etc.

If you see your dentist every six months, you will be less likely to have severe breakdown and tooth loss. Your family dentist is trained to help you keep your teeth healthy and can even provide cosmetic dentistry services to keep your smile bright and healthy. Your dentist will educate you and give recommendations for brushing, flossing and rinsing to prevent plaque and tooth decay between appointments. Finding a family dentistry practice that your whole family is comfortable with can take a lot of stress out of making and keeping your regularly scheduled appointments with a variety of dentists.

What Is Pediatric Dentistry?

Where a family dentist will see patients from age 2 to 102, pediatric dentists only see patients from approximately 2 to 18 years old. The pediatric specialty is only related to a young population and does not offer many advanced services of dental care for permanent teeth. Root canals, crowns, impacted teeth, and braces are generally not treated by a pediatric specialist. Many of the services offered do overlap with the family dentist such as x-rays, exams , fillings, sealants, dental cleanings, tooth extractions, baby root canals/crowns, space maintaining appliances. The Pediatric dentists role is important for patients who need specialized care like children with disabilities, those that need sedation, children with severe, full mouth breakdown, and those with behavior issues.


When making the choice between a pediatric dentist and a family dentist, it comes down to you and your child’s comfort levels. Feeling scared or uncomfortable in the exam chair or being scared of the dentist can ruin a child’s confidence and create a situation of dental anxiety or dental phobia. A good dentist, whether family or pediatric, will understand your child’s needs, make the experience a good one, and give great dental treatment. You want a dentist who will  provide a smooth, positive experience so that the little patient is motivated to continue good oral hygiene habits and regular appointments. When she/he is older and has to make health decisions on his/her own, they should have learned to establish a rapport and ease with their dentist. Choose wisely, but realize that a pediatric dentist may or may not be the best choice for your little ones if you have a good family dentist now.

Most family dentists will be happy to see your child even just to meet them and bring them back to get comfortable with the office.If you already have a family dentist that is experienced and willing to take on young children, you may want to start out in this environment to save the the hassle of going between various offices. Selecting a dentist who will treat your child throughout his or her growth has its distinct advantages, and a steady knowledge of patient history is one of them.  Family dentistry is a good choice for many due to the ease of having everyone in the family treated by the same doctor or at least in the same office.

When making any decision for your family it is always best to be informed and have options. There are many dentists with varying personalities, abilities,and skill levels. Find the one that fits you best, and you and your family will be much happier with your choice!

With the economy stagnating, many people fore go dental examinations and professional cleanings to save money. The truth is it will cost you more in time, money, and

Cosmetic Dentist Marielaina Perrone DDS

Routine Dental Visits Can Save You Money!

discomfort in the long run. Preventive medicine, or rather preventive dentistry is better for our health, and finances .

What Can Happen Without Preventive Dentistry?

If you skip regular preventive dental visits you are very likely to be looking at a future of dental issues (with added expense) which can include tooth decay, tooth loss, periodontal disease, and even root canal therapy.

-Periodontal Disease – In its earliest stages, periodontal disease is curable. This stage is called gingivitis. After periodontal disease progresses to an advanced stage (called periodontitis), it is only possible to manage the symptoms and keep it from progressing further. Regular dental care will help you prevent gingivitis from occurring so that you will not have to deal with periodontal disease progressing and causing a number of more costly procedures to manage it. Periodontal disease is very preventable with regular dental care. This is why regular dental care can save you money over the long haul. It is far cheaper, and less risky to your overall health to prevent periodontal disease than to treat it.

-Tooth Decay/Root Canal Therapy – Tooth decay like periodontal disease is far easier to manage when diagnosed at the beginning stages. Once tooth decay progresses deep into the underlying layers of a tooth, it becomes much more difficult and costly to treat. If the tooth decay progresses far enough it will enter the pulp chamber and essentially create a dental infection inside the tooth. The only way to save the tooth at this point is to perform root canal therapy.

-Tooth Loss – Not receiving regular dental care can lead to tooth loss. Replacing lost teeth with dental implants, bridges, or even dentures can be quite costly. Maintaining the teeth we have is far less costly than having them replaced by your dentist. Tooth loss also makes it difficult to chew healthy foods, and may make you opt for predominantly soft, high carb, low nutrition foods.

Average Cost of Dental Care

National Average for a routine dental visit – $80

National Average for a one surface dental filling – $135

National Average for a Molar Root Canal Therapy – $675

National Average for a PFM (porcelain fused to metal) Crown – $850

Cosmetic Dentist Marielaina Perrone DDSAs you can see it is far cheaper to visit the dentist every 6 months than to sporadically visit waiting for issues to arise. Visiting the dentist is not just about having a pretty smile, it is about maintaining both oral and systemic health. People who do not make brushing and flossing part of their daily routine end up in tons of pain later in life, have major dental work that needs to be done, and compromised health. Imagine what regular dentist visits could have done earlier on,to save them money, time, and discomfort.

A professional dental cleaning is a must because it is the only way to effectively remove tartar. Even if you brush and floss regularly, it is not enough. Tartar is an irritant , causes periodontal disease progression, is cosmetically unappealing, tartar also contains bacteria. Preventive dental care can significantly decrease the need for a mouthful of dental work. That can easily add up to thousands saved in the long run.


Perhaps one of the most important reasons to invest in regular dental exams and cleanings is that it has a positive impact on your overall health. Research has shown that there is a correlation between periodontal disease and systemic disease. These include heart disease, diabetes, and alzheimer’s disease. When the periodontal disease is present you are more likely to have other systemic effects develop over time.

For example, according to the American Academy of Periodontology, periodontal disease can have a domino effect on your health. The bacteria caused by periodontal disease can enter into your bloodstream and attach to your heart’s blood vessels, causing dangerous blood clots. Another scenario is, that the plaque buildup caused by periodontal disease can cause the heart’s blood vessels to swell.

Our health habits need to become a routine part of our lives. The cumulative effect of these habits increases the quality of our lives and keeps us healthy. Regular dental visits just like regular medical visits are an investment in our current and future health. Pass up the chances now and you will pay for it decades from now.


Oral Cancer Awareness Month

April, 2013


Oral Cancer Facts

-Expected to have approximately 42,000 new cases of oral cancer diagnosed in 2013 alone.

Oral Cancer Marielaina Perrone DDS

VELscope Saves Lives From Oral Cancer

-Males account for almost 70% of all new cases.

Survival Rates of Oral Cancer

1 year – 89% survival

5 year – 56% survival

10 year – 41% survival

-Approximtely 8,000 deaths per year from oral cancer.

Age 0-44 – 9%

Age 45-54 – 20%

Age 55-64 – 29%

Age 65-74 – 21%

Over Age 75 – 21%

Oral Cancer Marielaina Perrone DDS

Keep The Whole Family Healthy With Regular Oral Cancer Screenings

Risk Factors of Oral Cancer

-Family History of Cancer

-Presence of HPV-16 Virus

-Smoking Tobacco – Increases risk by a factor of 6.

-Alcohol Consumption – Increases risk by a factor of 6.

-Chewing Tobacco – Increases risk by a factor of 50!

-25% of all new oral cancer cases are patients who never smoke and only drink on occasion (or never). This is where the biggest growth of new oral cancer cases is occurring.

Signs and Symptoms of Oral Cancer

-White or red patches.

-Long term earache that never seems to go away.


-Tooth Loss

-Sores in mouth that never heal.

-Lumps in head and neck area.

-Numbness of jaw or surrounding tissues.

-Pain upon swallowing.

Early Diagnosis Is The Key To Beating Oral Cancer

The earlier the cancer diagnosis is made and the quicker treatment is begun, the better chance for a successful long term prognosis from oral cancer. Oral cancer will spread very quickly and needs to be found early in its localized state before it progresses to other parts of the head and neck as well as the rest of the body.

The tool of choice in early diagnosis of oral cancer by many dentists is the VELscope. The Velscope uses a special light that can distinguish normal healthy tissue from precancerous and cancerous tissues. The VELscope examination takes about 1-2 minutes (and is non invasive!) and has literally saved thousands of lives. There are currently about 10,000-12,000 VELscopes in the United States alone. Make sure your dentist has a VELscope to ensure you are getting proper dental care for the possibility of oral cancer development.

Oral Cancer Marielaina Perrone DDS

Dental implants are a highly popular dental procedure for replacing lost teeth. Dental implants are able to restore the mouth back to full function with a highly predictive, strong, long

Dental Implants Marielaina Perrone DDS

Dental Implants – The Perfect Solution For Tooth Loss

lasting restoration. However, for many, dental implants are not even an option due to poor bone density and quality of their bone.  What if dental implants were possible for these patients? Well, new research says that is possible.

Bone Break = Stronger Bone?

A recent article in the Journal of Oral Implantology suggests that the introduction of micro cracks in the jaw bones can stimulate bone growth. This would be especially helpful in patients with compromised bone density and bone quality. In theory, micro cracks can be developed in these patients and then following healing they would be able to receive their dental implants allowing for full restoration when otherwise they would not be able to.

Currently, the only way to improve bone density in patients lacking it would be the use of a dental bone graft and/or a sinus lift. These procedures require extra steps as well as extra cost. They also come with potential pitfalls such as the bone graft not taking on the first attempt.

What Did The Research Show?

The researchers used an instrument called an Osteotensor. This instrument was designed specifically for this Dental Implants Marielaina Perrone DDSdental implants study. This instrument is able to make a series of micro cracks in the jawbone in the area of the desired dental implant placement. Researchers found that, following placement of these micro cracks, there was biological response. Proteins, stem cells, and other growth factors began work to heal and regenerate the bone. The healing process is completed in about 45-90 days. At this time, the patient would be ready for dental implant placement.

The research followed the progress of a 74 year old woman who was treated with this technique. 45 days after the initial formation of micro cracks, the osteotensor instrument was unable to penetrate the bone at 23 of 42 impact sites. After 90 days, none of the sites were able to be penetrated. Softer type IV bone had been transformed into harder type II bone and it was then deemed safe to proceed with the dental implants surgery.

Dental Implant Success Is The Goal

Dental implants are currently successful over 95% of the time but for many patients their bone density and quality do not allow them to even have the option offered to them. With this new research it opens doors to allow for even more dental implant successes in the future, as well as opening the procedure up to entire new populations.