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Periodontal disease is a progressive condition that should be treated immediately. Below you will find some common questions patients ask about periodontal disease.

What Is Periodontal Disease?

Periodontal disease is classified as an infection of the soft and hard tissues supporting your teeth. Periodontal disease is caused when plaque begins to build up on the teeth and eventually hardens (also known as tartar). In the initial stages of periodontal disease, the gum tissues become inflamed and there may be some bleeding upon brushing and flossing. This initial stage of periodontal disease is known as gingivitis. Gingivitis is reversible with professional treatment from your dentist and maintaining a regimented routine of at home dental hygiene. If gingivitis is left untreated, the disease can continue to progress. The next stage is known as periodontitis. In this stage of periodontal disease the plaque and tartar build up below the gumline. Continued irritation and inflammation of the gums occur, this response will create periodontal pockets (increased space between your teeth and gums) that become infected. As periodontitis progresses and worsens, the periodontal pockets get deeper and the bone that supports the teeth begins to be lost. If periodontitis is left untreated, it will eventually lead to loss of teeth.

Periodontal Disease Las Vegas Marielaina Perrone DDSHow Is Periodontal Disease Diagnosed?

During your dental visits, your dentist or hygienist will examine the tissues surrounding your teeth visually, using instruments, and thru radiographs. If inflammation is present or the gums bleed easily that will be the first sign of periodontal disease being present. Further examination will occur using an instrument called a periodontal probe. This probe can measure the bone height surrounding your teeth. Normal periodontal pocketing is around 3mm. As bone loss and inflammation occurs this number can rise dramatically. Generally a pocket depth above 4 mm along with bleeding is a hallmark sign of the presence of periodontal disease.

What Are Common Signs Of Periodontal Disease?

Unfortunately for many, periodontal disease can be a silent disease until it becomes quite advanced. Signs and symptoms of periodontal disease include the following

-Inflamed or tender gums that are red in color.

-Bleeding upon brushing, flossing, or when consuming harder to chew foods.

-Teeth appear longer due to receding gum tissues.

-Loose or moving teeth.

-Development of a dental infection in the gum tissues. Usually presents itself as a pimple. Can also be a sign of an infection related to a bad tooth.

-Sores in the mouth

-Unexplained, chronic bad breath

-A change in the way your teeth fit together when you bring them together.

What Are Typical Periodontal Disease Treatments?

Depending on severity of periodontal disease, your dentist may refer you to a periodontist. A periodontist is a dentist that specializes in the gum and bone tissues of the mouth surrounding your teeth. There are a few options available. These include:

1. Scaling And Root Planing (also referred to as a deep cleaning). This dental hygiene cleaning will include the normal removal of plaque and tartar but will also smooth the root surfaces that are exposed or just below the gum line. This will help rid the oral bacteria that contribute to the development and progression of periodontal disease.

2. Periodontal Flap Surgery. This type of surgery opens the gum tissues up giving the dentist greater access to teeth, gum tissues, and bone. They can then debride the areas fully along with planing of roots. The tissues will be replaced and allowed to heal. Your dentist may decide a dental bone graft or gingival tissue graft may be necessary as well. A bone graft will help restore some missing bone to give added support in hopes of saving the affected teeth. A gingival tissue graft will help cover exposed roots to decrease sensitivity as well as give a better cosmetic result following surgery.

What Follows Treatment Of Periodontal Disease?

You will be placed on a maintenance therapy program. This will include oral hygiene instructions for at home along with necessary tools and education. It will also include the possibility of more frequent visits to the dental hygienist for follow up visits to keep the disease state under control. Some patients will require a more frequent schedule. The normal is every 6 months but for many cases it can increase to every 3 months to keep the disease from progressing further.

Can Periodontal Disease Contribute To General Health Issues?

Clinical studies have given us lots of data that periodontal disease does in fact affect our general health. These issues include:

Alzheimer’s Disease

-Cardiovascular Issues (Heart attack or stroke). Both periodontal disease and cardiovascular disease are considered chronic inflammatory diseases. The medical community believes that inflammation is probably the factor that associates the two disease states.

-Low Birth Weight Babies and PreTerm Pregnancies

-Difficulty in Controlling Diabetes

Can Children Develop Periodontal Disease?

It is rare to find periodontal disease in children but it is possible. More so for adolescents and teenagers. This does not mean we should not educate our children on the importance of dental hygiene. Children should be educated and develop a routine to avoid any issues as they get older. The warning signs of periodontal disease include swollen, bleeding gums that are red in color. If your child has these symptoms call your dentist to ensure he/she is cared for swiftly.

What Can Be Done At Home To Prevent Periodontal Disease?

The #1 way to prevent development of periodontal disease is visit your dentist regularly and maintain a diligent schedule of dental hygiene at home. This should include brushing at least 2x per day (recommend after every meal), flossing at least once a day, and using an antibacterial mouth rinse.

Is Periodontal Disease Contagious?

The actual periodontal disease state is not contagious since it is an inflammatory process. However, the bacteria that causes periodontal disease can be spread thru saliva. This is most often common from mother or father to newborn baby prior to full development of immune system. It has also been shown to have a genetic component. It is believed that approximately 30% of the world’s population may have some genetic susceptibility to the development of periodontal disease. Modern DNA testing can shed some light on these factors as well. Once such company is called OralDNAMyPerioPath is used to test for the detection of oral pathogens that cause periodontal disease. MyPerioPath can help provide early detection of oral pathogens to enable the personalized care in treatment of periodontal disease.

Can I Wait To Get Periodontal Disease Treatment?

The earlier that periodontal disease can be treated the cheaper and easier it will be to manage the outcomes. At the earliest sign of periodontal disease see your dentist and it could just involve a professional cleaning and some dental hygiene instructions. If you wait it could progress to periodontal flap surgery and tooth loss.

What Are The Stages Of Periodontal Disease?

The stages of periodontal disease are as follows:

-Gingivitis

-Periodontitis

-Advanced Periodontitis




The different dental implants types are a safe and effective way to replace lost or missing teeth. The success rate for well planned dental implants is well over 98%. Dental implants are an artificial tooth root (generally fabricated out of titanium metal) that a periodontist or oral surgeon inserts into your jaw bone to support a dental restoration to replace a single tooth or multiple teeth. Did you know there are different dental implants types available? There are many different scenarios where the various dental implants types are needed so dentists have developed many different dental implants types to offer to patients.

The various dental implants types are the ideal solution for people in overall good dental health who have lost a tooth or teeth due to periodontal disease, injury, or any other reason. The various dental implants types are actually more conservative dentally than traditional dental crowns and dental bridges. This is because the different dental implants types do not have the need to cut down healthy teeth or rely upon adjacent teeth for support.

Dental Implants Vs Bridge Las Vegas Marielaina Perrone DDS Different Dental Implants Types Las Vegas Marielaina Perrone DDS

Sufficient bone is needed to support the various dental implants types, and the best candidates have healthy periodontal tissues that are periodontal disease free. Dental implants are intimately connected with the underlying bone and gum tissues in the mouth. Good dental hygiene is necessary for long term success of dental implants. With dental technique and dental material advancements, dental bone grafts are now more successful than ever and can be used to augment your natural bone. Be honest with your dentist regarding health issues. There is a marked increased risk of failure in patients who smoke. For this reason, dental implants are frequently placed only after a patient has stopped smoking for a period of time.

Different Dental Implants Types

-Two Stage Dental Implants. This is the most commonly used dental implants types used by dentists today. This type of dental implant is placed directly in the bone just below the gum line. The implant is closed over by the gum tissues while it is healing. Following healing, the implant is uncovered and a final dental implants crown is placed to restore a lost tooth.

-Single-Stage Dental Implants. This dental implants method does not cover the dental implant with gum tissue following surgery. This technique is not commonly used.

-Immediate Load Dental Implants. This dental implants type is one where a dental implant and a dental crown are placed on the same day. This can be very tricky as conditions must be ideal including sufficient bone volume/density being present for success.

All On 4 Dental Implants. This is a fairly new dental implants types that can help many patients replace missing teeth. The All on 4 Dental Implants procedure uses four dental implants per arch (either upper or lower or can be completed on both arches).  The dental implants in the back of the mouth are placed on an angle to take maximum advantage of the existing bone structure. A special dental implants type was developed and refined that could support the immediate loading and fitting of replacement teeth. This treatment is attractive to those with loose dentures or those in need of full upper and/or lower dental restorations. With the All-on-4 dental implants procedure, patients receive just four dental implants and a full set of new upper or lower replacement teeth in just one appointment. This is generally able to be completed without the need for dental bone grafts.  The real attractionfor patients for the all on 4 dental implants procedure is how quickly permanent dental implants and dental restorations can be placed. This allows patients the ability to leave the same day with a denture that is anchored and stabilized by these specific all on 4 dental implants types.

Historically, the dentist’s approach to restoring a full arch of teeth usually involved dental bone grafts, six or more dental implants, and as much as 18 months of dental 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 dental treatment.

Which Dental Implants Types Are Best?

Luckily, with different dental implants types we have options for different patients. Each patient is unique and dentistry should never be one size fits all. Dentistry and especially implant dentistry is highly personalized. Dental implants types are a constantly evolving section of implant dentistry. As time advances, new dental implants types will be developed with different materials and techniques. Speak to your implant dentist today to see which dental implants types is right for your smile.

Reasons To Say Yes To Different Dental Implants Types

Esthetics. Once restored no one should ever know but you and your dentist that you have dental implants.

Functional Stability. Once healed, your dental implants will function and feel just like your natural teeth. You will be able to eat and drink anything you want.

Maintain Oral Health. The various dental implants types help to maintain optimum bone levels of the jaws. This will allow your face to maintain its natural bone structure as long as possible giving you a more youthful appearance.

No Worries. Dental implants are stable so you won’t have to worry about them falling out, rocking, or not feeling stable enough to eat what you want. Although dental implants can have complications, they are few and far between. You will never need a root canal on a dental implant nor will you ever get tooth decay.

Longevity Success. Dental implants have an over 98% success rate and should (with proper dental maintenance care) last a lifetime.

Financial Cost. While the cost may seem high, it is important to note how much goes into the different dental implants types. A dental implant should last a lifetime and should be considered over traditional dental treatments like a dental bridge for that reason.

Different Dental Implants Types Conclusion

The various different dental implants types mentioned above only add to the options you have to restore lost teeth. Speak to your implant dentist today to see what dental implants option is best for you long term.

 




Modern orthodontics have created a decision for many patients…..Invisalign vs braces! With advances in orthodontic materials and techniques we have moved forward to a more cosmetically pleasing way of creating a straighter smile. The decision of invisalign vs braces will be between you and your dentist or orthodontist. An informed, educated patient is the best kind. Below you will learn the pros and cons of each technology to make an informed decsion in invisalign vs braces.

Traditional orthodontic braces are made of metal and attach to the outer surfaces of your teeth. They can also be made of a ceramic material and placed behind the teeth (called lingual braces). Metal wires and rubber bands are attached to the brackets to slowly give directional forces to your teeth to correct orthodontic issues.

Invisalign treatment uses clear, plastic orthodontic aligners. These aligners are personalized for each patient by making a 3-dimensional scan of their mouth. Personalized aligners are then made to move the teeth in small graduated steps until the correct position is reached for a perfect smile.

Invisalign Vs Braces

Advantages Of Invisalign Vs Braces

Cosmetics. The greatest benefit especially for orthodontics for adults is that the invisalign aligners are clear and virtually invisible. Most people will not even notice you are undergoing orthodontic treatment. This is a huge plus in discussion of Invisalign vs braces.

Marielaina Perrone DDS Invisalign Vs Braces Henderson NVRemovable. Invisalign retainers should be worn about 20-22 hours per day this allows you time to take them out for eating. This allows you not to make any changes in the types of foods you eat. With traditional braces, this can be a real issue.

Improved Dental Hygiene. The ability to remove the clear invisalign aligners to brush, floss, and rinse your teeth is a huge plus in invisalign vs braces discussion.

Fewer and Quicker Orthodontist Visits. Again a real plus especially for adult orthodontics. There are no need for simple adjustments just changing retainers as teeth move. Also there is nothing to break.

Comfort. With a plastic retainer, you will still feel the occasional discomfort as teeth shift however, there will not be any metal to pinch your cheeks and gums. Another big advantge in argument of invisalign vs braces.

Disadvantages Of Invisalign Vs Braces

Increased Patient Responsibility. Since patients can remove the retainers at will, they need to be responsible and wear them for the required time for them to be effective. Your orthodontic results will not be as good or as timely if not worn as prescribed. Any deviation from this can add time to your orthodontic treatment. One the major failures of Invisalign is in fact patient compliance when it comes to wearing retainers as required by your orthodontist. The success or failure of Invisalign is up to the patient.

Inconvenience. Constantly removing retainers to eat can be a nuisance for some. Not to mention an increased risk of losing retainers is possible.

Increased Cost. For some patients invisalign alone cannot fix all smile alignment issues. There may be a need for a final phase that includes some form of traditional braces. This will be an added expense in money and time.

Effectiveness Of Invisalign. As mentioned above, invisalign treatment may not be able to tackle some more difficult smile alignment cases. Your dentist or orthodontist will be able to discuss these options with you prior to beginning treatment.

Advantages Of Traditional Braces Vs Invisalign

Ability To Handle All Patients. This is a proven technology that can work in any situation to handle multiple dental and facial issues. Traditional braces are the most powerful all around tool an orthodontist can use to move teeth into their final desired position.

Ability To Achieve A Better Final Result. Traditional orthodontic braces have the ability to achieve a better final result than Invisalign clear retainers. Braces can create more force to move teeth into the desired position. Invisalign is limited by force and how much movement can occur at a given time.

Options. As mentioned above, traditional braces offer attachments to the outside of teeth, to the inside of the teeth, as well as tooth colored ceramic brackets. The last two can make traditional braces more cosmetic than ever before.

Faster, More Efficient Treatment Time. Due to increased power and tweaking by your orthodontist, traditional braces tend to complete the job faster and more efficiently vs Invisalign, This is important for both kids and adults.

Disadvantages Of Traditional Braces Vs Invisalign

Cosmetics. Traditional braces have a tendency to make people feel self conscious about their smiles. A definite negative in the argument of invisalign vs braces.

Dental Hygiene. Maintaining good dental hygiene can extremely difficult with traditional braces. If you do not maintain good dental hygiene during orthodontic treatment you might end up developing tooth decay as well as periodntal disease. It is extremely important to be diligent with dental hygiene when undergoing orthodontic treatment.

Food Choices. You need to watch what you eat while undergoing traditional orthodontics with braces. Hard or sticky foods can cause damage to the brackets on your teeth or even the wires attached to the brackets. If brackets break they will delay treatment and prolong the overall treatment time for your new smile.

Regular Visits. Generally you will be on a schedule of 1x per month at minimum. This will be to check progress as well as to make changes to the movement of your teeth. For Invisalign patients it might be every other month.

Invisalign Vs Braces Conclusion

Making the choice of Invisalign Vs Braces should not be a difficult one. Examine the positives and the negatives and make the choice that is right for you and your smile. Invisalign vs braces should not be a difficult decision. Whichever way you choose you will enjoy your new smile for years to come. Invisalign vs braces the choice is yours!




The field of cosmetic surgery has exploded in popularity particularly due to instagram and other social media outlets. Wrinkles and fine lines are an inevitable part of the process of aging. This can potentially ruin our self image and esteem. This is especially true when the signs of aging occur prematurely. For fast results, botox vs juvederm treatments can be used quickly and easily to make you look and feel younger. They can reverse facial aging signs leaving you looking naturally younger and attractive. More and more people are undertaking steps to make themselves look and feel younger. What if there was a treatment to do that in a non permanent way? Well there is with Botox Cosmetic and Juvederm. Below we will explain the differences of Botox Vs Juvederm.

“TAKE BACK YOUR YOUTH WITH THE COSMETIC BENEFITS OF BOTOX AND JUVEDERM” – Marielaina Perrone DDS

Botox Vs Juvederm Differences

Botox Cosmetic

Botox (or botox cosmetic) is a safe form of botulinum toxin A. This neurotoxin causes botulism. Once injected, botox cosmetic will paralyze the facial muscles in that area temporarily. This will prevent the muscles from creating deep wrinkles, crow’s feet around the eyes, or frown lines. Wrinkles occur in 3 different ways:

-lack of collagen in skin.

-changes at cellular level as we age.

-environmental changes like exposure to the sun.

Botox actually has many uses beyond a cosmetic one. These can include:

-treatment for excessive sweating.

-treatment of teeth clenching.

-treatment for overactive bladder.

treatment for chronic migraine pain.

-Temperomandibular Joint (TMJ) Disorder.

Botox Vs Juvederm Las vegas Marielaina Perrone DDS

Botox Juvederm Marielaina Perrone DDS

How Is A Botox Procedure Completed?

The botox cosmetic treatment is very quick and easy. It can be completed in as little as a few minutes and does not require anesthesia (but can use numbing cream or ice packs to lessen discomfort). An extremely fine needle is used to inject the botox cosmetic into the specific muscles. There will be slight discomfort from the botox injection. Most patients report it takes about a week for the full effects of the Botox cosmetic to take hold. The effects will last about 3-4 months. The lines will gradually return but with repeated treatments the muscles will start to train and wrinkles will be lessened. Temporary bruising in the area of injection is the most common side effect of botox cosmetic.

Juvederm

Juvederm is an FDA approved non surgical, minimally invasive dermal filler that is created with a synthetic hyaluronic acid (also called HA). Hyaluronic acid is a substance that is natural to our bodies, and it helps keep your skin healthy in a few ways:

-Essential nutrients

-Maintaining moisture by hydrating our skin

-Softening our skin

-Volumizing our skin

How Is A Juvederm Procedure Completed?

What Could I Expect from a Procedure?

Juvederm is a non-surgical, minimally invasive treatment performed right in our office. Juvederm is an injectable treatment that has the ability to reduce the appearance of unwanted lines and wrinkles. It is able to achieve this by restoring lost volume to the skin and lips. Juvederm (also called wrinkle fillers) can also be used as “volumizers,” plumping and lifting cheeks, chins, jawlines, and temples, and filling out thin lips. The injection is similar to Botox cosmetic but Juvederm contains a local anesthetic to reduce pain and discomfort. As a dentist we have the ability to numb your mouth area to reduce pain and discomfort further. Juvederm provides results up to a year. Side effects are rare but can include redness, swelling, and bruising at the injection site. Results from Juvederm can be seen almost immediately.

Botox Vs Juvederm – Which One Is Right For Me?

Botox Vs Juvederm is not the question as both can work side by side. Botox has the ability to make wrinkles disappear around the eyes, forehead, lengthening upper lip to remove gummy smile, and vertical lines around lips. Juvederm removes wrinkles in a different way by adding volume (dermal filler) to fill the lines from the nose to the lip, the lower face, outline the lips, and to fill the lips. There is no reason for a choice between botox vs juvederm as they do separate things. Juvederm is perfect for wrinkles that are present when your face is resting, whereas Botox is perfect for wrinkles that appear upon movement. Your dentist will be able to go into greater detail on what would be the right treatment for you based on your cosmetic appearance and your desires for treatment.

Juvederm Las vegas Marielaina Perrone DDS