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Serving Las Vegas and Henderson, Nevada since 1999.

Maintaining strong bones and teeth is something we all need to do over the course of our lives. Most people think that all that requires is consuming more milk. That is

Nutrition Marielaina Perrone DDS

Eat Right For A Healthy Body and Teeth!

simply not the case as many different nutrients and vitamins are needed to maintain bones and teeth. Luckily, most of those nutrients can be found in common everyday foods.

Vitamins Needed For Healthy Teeth

-Calcium – This is the one we all know we need. But did you know that calcium also aids in blood clotting, transmission of nerve impulses, as well as the regulation of your heart’s rhythm. Calcium is an essential nutrient your body needs and if it does not get enough of it, your body will pull it from your bones. Calcium comes from many sources. These include dairy products (milk and cheese), dark leafy greens and even dried beans. Adults up to age 50 should get 1,000 milligrams of calcium and adults over 50 should get 1,200 milligrams of calcium

-Vitamin D – Vitamin D and calcium are partners in building strong bones and teeth. Vitamin D is needed to help your body absorb calcium. Unfortunately, vitamin D is not easily found in everyday foods. You can get your daily intake of vitamin D from fortified foods, spending a few minutes in the sun each day, or from supplements.

-Vitamin C - Your bones, teeth and the connective tissues surrounding each tooth all contain large amounts of collagen, a type of protein. Getting enough vitamin C helps your body produce collagen and helps to ensure that you can maintain the health of collagen-rich tissues. Vitamin C deficiencies weaken your bones and teeth, and people with severe vitamin C deficiency often experience tooth loss. Most fruits and vegetables contain vitamin C, so include fresh or frozen produce in every meal to fight vitamin C deficiency.

-Vitamin A - Vitamin A is important for bone growth, cell reproduction and repair. The most common sources for vitamin A are animal products, dairy, and colorful fruits and vegetables.

-Vitamin E - Recent studies have found that individuals with periodontal disease have low levels of vitamin E in their gum tissue. The link between vitamin E and periodontal disease is still not completely understood, but eating foods rich in vitamin E helps increase your overall levels of this vitamin and might help maintain healthy Nutrition Marielaina Perrone DDSbones and teeth. Eat almonds, avocado and olive and canola oils as sources of vitamin E.

Excellent Sources of Food For Bone Health

-Yogurt - Most people get their vitamin D through exposure to sunlight, but certain foods, like yogurt, are fortified with vitamin D. One cup of yogurt can be a creamy way to get your daily calcium. Stonyfield Farms makes a fat-free plain yogurt that contains 30% of your calcium and 20% of your vitamin D for the day. And though we love the protein-packed Greek yogurts, these varieties tend to contain less calcium and little, if any, vitamin D.

-Milk - There’s a reason milk is the poster child for calcium. Eight ounces of fat-free milk will cost you 90 calories, but provide you with 30% of your daily dose of calcium. Choose a brand fortified with vitamin D to get double the benefits.

-Cheese – Just because cheese is full of calcium doesn’t mean you need to eat it in excess (packing on the pounds won’t help your joints!). Just 1.5 ounces (think a set of dice) of cheddar cheese contains more than 30% of your daily value of calcium, so enjoy in moderation. Most cheeses contain a small amount of vitamin D, but not enough to put a large dent in your daily needs.

-Sardines – These tiny fish, often found in cans, have surprisingly high levels of both vitamin D and calcium. Though they may look a bit odd, they have a savory taste that can be delicious in pastas, salads, and even as topping on pizza.

-Eggs - Though eggs only contain 6% of your daily vitamin D, they’re a quick and easy way to get it. Just don’t opt for egg whites—they may cut calories, but the vitamin D is in the yolk.

-Salmon - Salmon is known for having plenty of heart-healthy omega-3 fatty acids, but a 3-ounce piece of sockeye salmon contains more than 100% of your vitamin D. So eat up for your heart and your bones.

-Spinach - One cup of cooked spinach contains almost 25% of your daily calcium, plus fiber, iron, and vitamin A.

-Fortified Cereal - Certain cereals—like Kashi U Black Currants and Walnuts, Total Whole Grain, and Wheaties—contain up to 25% of your daily vitamin D. When you do notNutrition Marielaina Perrone DDS have time to cook salmon or get out in the sun, cereals can be a tasty way to get your vitamin D.

-Tuna - Tuna, another fatty fish, is a good source of vitamin D. Three ounces of canned tuna contains 154 IU, or about 39% of your daily dose of the sunshine vitamin.

-Collared Greens - Like spinach, this leafy green often enjoyed south of the Mason-Dixon line is full of calcium. One cup of cooked collards contains more than 25% of your daily calcium.

-Orange Juice - A glass of orange juice does not have calcium or vitamin D, but it is often fortified to contain these nutrients. Try Tropicana’s Calcium + Vitamin D to get a boost of these essentials.  Also, studies have shown that the ascorbic acid in OJ may help with calcium absorption, so you may be more likely to get the benefits of this fortified drink.

Conclusion

Maintaining healthy bones and teeth requires attention to what we eat. It is never too early to start as studies have shown that women who maintain proper nutrition levels at earlier ages have less bone density issues as they age. As always see your dentist regularly for dental examinations, oral cancer screenings, and professional cleanings to keep your teeth their healthiest.

Las Vegas Dental Implants Marielaina Perrone DDS

Dental Implants – Solution for Tooth Loss

In today’s world, when a tooth is lost, most of us would like it replaced permanently with another tooth. The options for patients varies among different cases and situations. In the case of a lost or missing tooth, there have been traditionally several ways to restore it. The removable flipper, a cemented 3 tooth bridge (fixed bridge), or dental implants. If you have ever seen or worn a flipper, basically a removable retainer with a tooth attached, you know that it is not the best option. A fixed bridge may be necessary if there is inadequate bone or health issues deeming implants a higher risk. Dental implants have become the optimum choice, basically replacing the tooth with a whole new tooth.

Traditional Dental Bridge

A traditional dental bridge, utilizes one or more adjacent teeth for stability. A bridge is anchored to healthy teeth at either end. With a traditional dental bridge, the  tooth behind and in front of the missing tooth are trimmed down, to accommodate the fitting of crowns.  The bridge usually consists of 3 crowns fused together, and is custom fabricated by a laboratory technician.

There are three types of Fixed Dental Bridges:

-Traditional bridges involve fabricating a crown for the tooth on either side of the missing tooth, with a pontic (fake tooth) fused in between. Traditional bridges are the most common type of bridge and are generally made of either porcelain fused to metal or all porcelain.

-Cantilever bridges are used when there are adjacent teeth on only one side of the missing tooth or teeth. The cantilever extends out over the missing tooth space without end support. This type of bridge can cause rocking and damage to the tooth or teeth it is attached to.

-Maryland bridges (also referred to as a resin-bonded bridge) are made of plastic or porcelain teeth and gums supported by a metal framework structure. Metal wings on each side of the bridge are adhesively bonded to your existing teeth. The metal can show through and hamper cosmetics.

Dental Implants

A dental implant is essentially a new root for your new tooth. The implant is surgically placed into your jaw, the bone grows around it and actually sticks to it. The process is called osseointegration. This is what gives the implant it’s strength. It is actually stronger than a natural tooth. The best part, is you do not have to disrupt the surrounding teeth, and it will never decay.

Las Vegas Dental Implants Marielaina Perrone DDSPros and Cons

-Dental implants may be less noticeable and provide a more natural cosmetic appearance.

-Dental implants can be flossed, brushed , and treated like a normal tooth, bridges require more complex hygiene maintenance.

-Dental implants provide more efficient chewing than bridges, which may chip, break, or shift.

-Dental implants have a 98% success rate.

.-Bridges require healthy, stable teeth on either side of the missing tooth or teeth for placement. This is not required in the case of dental implants.

-The teeth to which a traditional bridge is attached are permanently affected by the procedure of placing crowns on them. With dental implants, adjacent teeth are not affected or prepared in any way. If one tooth to which a bridge is attached develops problems, the entire bridge will likely need to be replaced.

- Dental implants are generally a bit more expensive than bridges.

-Dental implants can fail. They may not integrate with bone, may develop periodontal disease, or may break.

-Dental Implants generally take a few months from start to finish of treatment, whereas a dental bridge can be completed in about 2 weeks.

Longevity

The average life span of a bridge, with proper oral hygiene, is eight to 15 years. Dental implants are considered permanent, although any crowns or bridges attached to them are subject to normal wear and tear and may need to be replaced at some point. Proper oral hygiene is crucial to the success of any restorative dental work.

Conclusion

In today’s modern dentistry, dental implants are quickly becoming the first choice for many. The choice of an implant has become more affordable, and more successful. Life is all about choices. The dentist can give the patient the pros and cons of each procedure and allow the patient to make the most educated decision they can.  The procedure  you choose will solve the problem of a missing tooth, in the way that works best for you.

Dental implants have changed the face of dentistry over the last 20 years. They have been nothing less than a miracle in the replacement of teeth whether it be a single tooth, multiple teeth, or as an anchor for a denture. As the technology matures, new advancements and techniques come into play. One of those newer techniques is called All On 4 Dental Implants. This technique allows for the placement of four dental implants (hence the name all on 4 dental implants), and the restoration to be placed on the same day. Patients leave the office with teeth. For this reason all on 4 dental implants are also called “new teeth in a day“.

Who Wants All On 4 Dental Implants?

The patients who choose all on four, do so for many reasons including, poor fitting existing dentures, terrible trauma causing tooth loss, decay or periodontal disease causing progressive tooth loss. The most common patients to choose all on four, are not denture wearers. They are patients who have been fighting an uphill battle for a while and know that they are losing their teeth. These individuals have been trying to hold on as long as possible because they do not want to have any time in their life without teeth, and the thought of a removable denture is not an option.

What are All On 4 Dental Implants

The All on 4 Dental Implants procedure was developed in the mid 1990′s. The all on 4 dental implants system has allowed for a variety of patients who, for various reasons, were not considered good candidates for traditional dental implants to now become candidates.

The All on 4 Dental Implants procedure uses four dental implants per arch (upper or lower).  The dental implants in the back are placed on an angle to take maximum advantage of the existing bone structure. Special dental implants were developed that could support the immediate fitting of replacement teeth. This treatment is attractive to those with loose dentures or those in need of full upper and/or lower restorations. With the All-on-4 dental implants procedure, qualified patients receive just four dental implants and a full set of new upper or lower replacement teeth in just one appointment. This usually able to be done without dental bone grafts.  The real attraction to the all on 4 dental implants procedure is how quickly permanent dental implants can be placed. This allows patients the ability to leave the same day with a denture that is fixed in place and stabilized by the dental implants.

Traditionally, the  approach to restoring a full arch of teeth (either upper or lower) usually involved dental bone grafts, six or more dental implants, and as much as 18 months of treatment. In that time, the patient would be wearing an interim denture while the dental bone grafts and dental implants heal and integrate into the bone. This can be very expensive, time consuming, and uncomfortable for a patient to continuously go back for treatment.

What Appointments are Needed for All On 4 Dental Implants?

The All on 4 Dental Implants procedure consists of the following visits:

Initial Visit(s) – The initial visit(s) for the all on 4 dental implants procedure is necessary for the dentist to do a proper treatment plan for you. These visits will include gathering pertinent medical history, needed X-rays, dental impressions, photos, and a CAT Scan. The dentist will then be able to review all the information with the patient and develop the proper course of treatment.

Actual All On 4 Dental Implants Procedure Visit – At this visit the patient will undergo the procedure for placement of the 4 dental implants. Following placement of the dental implants, the dentist will place the denture in and the patient will leave in the afternoon with a beautiful set of fixed, functional teeth.

Follow-up Appointments - The patient will need to return to the dentist for occasional dental examinations over the next several days, weeks, and months to ensure comfort and fit. In about 6 months, the patient will return for a final set of dentures. The reason for the 6 month wait is to give the tissues in the mouth time to heal properly, correct anything the patient wishes to change, and to allow the implants to properly integrate into the bone.

Conclusion on All on 4 Dental Implants

More than 100 million people in the United States alone are missing between 11 and 15 of their permanent adult teeth. By the age of 60, almost 70% of these people are completely without teeth and in desperate need of complete oral rehabilitation. This is where the all on 4 dental implants procedure comes in and is able to restore people’s teeth and change their outlook on life.

 

Periodontal Disease – is a progressive inflammatory disease, that affects the tissues that support and anchor the teeth. These support tissues include, gums, bone, cementum, and ligament attachments.

The main area in which periodontal disease is diagnosed and treated is in “the pocket”. The pocket is the unattached tissue between the tooth and gum, measured with a tiny ruler-like instrument called a periodontal probe. A healthy tooth generally has pocket measurements of 0-3 mm, whereas diseased tissue can be 4-15 mm deep, ( The deeper the pocket, the more difficult to fully clean). The measurements vary in what they measure, for example, in Gingivitis measurements indicate how swollen the tissue is, while in Periodontitis, the measurements indicate the loss of bone and gum tissue. If  left untreated, periodontal disease results in the destruction of the support structure, bacteria growth down into pockets, toxin release (to breakdown attachments),  loosening of teeth, and subsequent tooth loss.

Stages of Periodontal Disease

Periodontal disease is said to affect over 50% of all Americans. Periodontal disease advances in 4 stages:

1. Gingivitis- Swollen, red, inflamed gum tissue. There has not been loss of attachment at this stage. Reversible with proper hygiene.

2. Early Periodontitis- Less than 25% attachment loss, as determined by x-ray and measurement with a probe.

3. Moderate Periodontitis-25-50% attachment loss as determined above.

4. Advanced Periodontitis-50% or more attachment loss.

Periogen Marielaina Perrone DDS

Periogen Used to Fight Tartar

Periodontal disease can be reversible in its earliest form. This form of periodontal disease is called gingivitis. But if the periodontal disease progresses to periodontitis then the damage is not reversible by the body on its own. Patients and dentists alike are always looking for ways to combat periodontal disease with newer and better ways to treat the disease and maintain good oral hygiene at home. The tried and true home methods have generally consisted of varying types and techniques with  tooth brushing, flossing, and antibacterial rinses. All of these methods have the same limiting factor, none of the at home methods could target the deeper pockets of 5 mm and above, until a new product was formulated in conjunction with the waterpik utilizing a special tip which places a tartar dissolving liquid  directly where it is needed. This new rinse is called Periogen.

What Does Periogen Do to Fight Against Periodontal Disease?

Periogen is a patented oral rinse that has been proven capable of dissolving tartar buildup between professional cleanings and dentist visits. Periogen works by exploiting a weakness (discovered by the research team at the Periogen Company) in the fundamental structure  of oral tartar, and its adhesive nature.

Tartar (or calculus as it is sometimes called) can be found above and below the gum line. Tartar above the gum line is referred to as supra gingival tartar and tartar below the gum line is referred to as sub gingival tartar. Dental Tartar is comprised almost entirely of Calcium Phosphate Salt. Calcium Phosphate is the basic component of tooth material. Calcium phosphate salt differs from calcium phosphate in its electron structure. The calcium phosphate salt has two less electrons than the calcium phosphate which makes it electrically unstable. This process of losing electrons happens in nature all the time. The best comparison is the buildup of lime deposits in water pipes and faucets. Microscopically, tartar is layer upon layer (can be in the tens of thousands layers) of fossilized bacteria trapped between the calcium salts.

The tartar causes periodontal disease by toxins released by the bacteria in plaque and tartar on teeth. The toxins cause the body to react by starting the inflammatory

Periogen Marielaina Perrone DDS

Periogen Oral rinse for Dissolving Tartar Between Professional Cleanings

process thereby destroying healthy gum tissue and supporting bone structures. Periodontal disease is progressive and without periodontal disease treatment will lead to tooth loss and infections throughout the mouth.

Periogen is used as an oral rinse 1-2 times per day between professional cleanings to reduce the level of tartar buildup and stain. This will in turn make for an easier dental visit but also maintain a healthier state in your mouth for your teeth and gums to heal. Periogen should in no way replace brushing and flossing, or visits to the dentist but just works as an accessory between professional dental cleanings to give you a more effective way to reduce tartar and fight periodontal disease .

Periogen Conclusion

As you know, there are many methods and products on the market to aide you in your dental hygiene and combat periodontal disease. Remember this, “The best  offense is a good defense!”.   It is up to you to find and decide what works best for you to prevent periodontal disease. Visit your dentist regularly for dental examinations and professional cleanings to ward off dental problems and stay healthy.