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.

Call Today For Consultation!

Email Us
Directions




Orthodontics for adults is a relatively new phenomenon. The old way of thinking that orthodontic braces were just for children has been tossed out the window. Orthodontics for adults is a booming segment of dentistry. With new advancements in dental materials and techniques orthodontics for adults has become easier than ever.

Is Orthodontics For Adults For Everyone?

According to the Amercian Association of Orthodontists, approximately one in four orthodontic patients (about 1.7 million between Canada and USA) is an adult(anyone over age 18). As dental knowledge has advanced we have realized that leaving crooked teeth and misaligned teeth was not just a cosmetic issue. This crowding leads to increased risk of tooth decay and periodontal disease as well as difficulty in chewing and speech. Orthodontics for adults can fix that creating a smile that is in harmony not only esthetically but functionally. This will lead to being able to maintain dental hygiene easier which will lead to longer tooth life.

Is There An Age Limit For Orthodontics For Adults?

No! You are never to old to receive orthodontic treatment. There are a ton of factors that your dentist or orthodontist will consider but age is usually not one of them.

Is Orthodontics For Adults Possible With Missing Teeth?

It all depends on what is missing and where. The beauty of orthodontics for adults is that this is where a dentist and an orthodontist will come together and work as a team creating the perfect smile for you. Your treatment plan may include a mix of orthodontic treatment as well as a dental implant or two to complete your smile.

Orthodontics For Adults Vs Adolescent Orthodontics

The process of moving teeth is exactly the same whether you are 6 or 60. Orthodontics moves teeth by placing directional force on our teeth over time. Many issues can be corrected as an Marielaina Perrone DDS Orthodontics For Adults Henderson NVadult as easily as for a child. The biggest difference between children’s orthodontics and orthodontics for adults is that adults have stopped growing. This can cause an increase in orthodontic treatment time for adults. Adult bone will be denser as well which will make tooth movement slower. Also considerations need to be made if the adult patient has any dental crowns. These can be moved but care must be taken to ensure these teeth are healthy and the dental crown is properly placed. Adults and children can have very similar orthodontic issues. These can include:

-Crowding or too much space between teeth

-Overbites or Underbites. For an open bite, the front teeth may not make contact when the back teeth touch, or vice versa. Poorly aligned teeth and jaws can, over time, can result in abnormal wearing of tooth surfaces.

Orthodontics For Adults Initial Treatment

Your initial consultaion will usually be a no cost consultation. In addition to the consultation x rays and photographs will be taken. There may be a charge for these. These x rays and photographs will help the dentist and orthodontist map out your treatment safely. At your initial consultation you will discuss with dentist or orthodontist why you are there. They will examine you and look at the following factors to develop a customized treatment plan for you.

-What is the orthodontic issue that brings you in?

-Multiple orthodontic options to correct the problem or problems.

-Customized treatment goals that you wish to achieve.

-Will any teeth need to be removed to accomplish these goals?

-Whether other dental services are required prior to orthodontic treatment to bring your dental health to optimal levels.

-A rough estimate on the length of your orthodontic treatment

-Estimated cost of orthodontics for adults care.

Orthodontics For Adults Treatment

As mentioned previously, teeth are moved with controlled directional forces over time. Orthodontists use clear aligners (invisalign) or braces to guide and move your teeth into their ideal positions. The tooth movement occurs as the underlying bone is broken down and then rebuilt. If the process goes too fast the bone does not recover properly. Timing is critical for long term health. Following orthodontic treatment, you can expect to wear a retainer to maintain the movements you have gained while undergoing active orthodontic treatment.

Braces Or Clear Aligners? Which is Fastest?

Your orthodontist will decide with you which option is best for your individual smile. Patience is needed for adult orthodontics as it is for adolescents.

Follow these tips to make orthodontics for adults treatment go as easily as possible:

-Maintain a diligent brushing and flossing regimen.

-Maintain routine dental visits for professional cleanings as recommended.

-Monitor foods you eat. Try to avoid hard, sticky, and crunchy foods. It is best to choose foods that are soft and easier to chew.

-Avoid sugary drinks.

-Follow all orthodontic instructions.

-Maintain regular scheduled orthodontic appointments. If any issues arise do not hesitate to call.

Orthodontics For Adults Conclusion

Orthodontics for adults has transformed many smiles. With a clear understanding of the treatment, orthodontics for adults can work wonders on any smile. Speak to your dentist today if you are having thoughts about orthodontic treatment.




Teeth whitening has become a very popular dental procedure increasing in size each decade. We are all aware that our dentist can provide the tools to make our teeth whiter but can it be done at home naturally? Below you will find some of the popular teeth whitening methods:

Oil Pulling For Teeth Whitening

Oil pulling, also known as “kavala” or “gundusha,” is an ancient Ayurvedic dental technique that involves swishing a tablespoon of oil in your mouth on an empty stomach for around 20 minutes. This action supposedly draws out toxins in your body, primarily to improve oral health but also to improve your overall health. Traditionally, sunflower or sesame oil was used for oil pulling. Coconut oil has become a popular choice because it has a pleasant taste and offers other health benefits. Coconut oil has been shown to reduce inflammation and destroy bacteria due to its high lauric acid content. There have been numerous studies done that have shown that daily oil pulling can effectively reduce the amount of bacteria in the mouth. By reducing bacteria levels it can help with gingivitis. Streptococcus mutans is one of the primary types of bacteria in the oral cavity that cause plaque and gingivitis. One research study found that daily swishing with sesame oil significantly reduced Streptococcus mutans in saliva in as little as just one week.

There have been no definitive research studies to prove that oil pulling acts in a teeth whitening capacity. Many people that regularly use oil pulling have claimed their teeth are whiter

Marielaina Perrone DDS Teeth Whitening Las Vegas

Teeth Whitening Las Vegas

and brighter after routinely oil pulling. Since it is a safe practice it is worth trying for teeth whitening.

Oil Pulling Directions For Teeth Whitening

Place approximately 1 tablespoon of coconut oil in your mouth and push and pull the oil around your mouth and through your teeth. Coconut oil is a solid at room temperature, so you may need to wait a few seconds for it to melt. Try to continue the oil pulling for at least 15–20 minutes. For the safety of the pipes in your home, spit the oil into the trash can and not down the drain. As mentioned previously, the coconut oil will return to a solid at room temperatures.

Safe for daily use in teeth whitening.

Brushing With Baking Soda For Teeth Whitening

Baking soda is known to have natural teeth whitening properties. This is why along with its light abrasiveness it has become popular in commercial oral care and teeth whitening dental products. The abrasiveness can help clean stains that have built up on your teeth but totally safe to your teeth’s enamel. Baking soda has the added property of being alkaline in your mouth which can help prevent bacteria from multiplying.

It is important to note using baking soda as a teeth whitener will be a slow process. Results will not happen quickly. Research has not yet proven that brushing with plain baking soda will have any teeth whitening effect, but several studies show that toothpaste coupled with baking soda can have a significant teeth whitening effect. Toothpastes containing baking soda have been shown to be significantly more effective at removing yellow stains from teeth than standard toothpastes without baking soda. The higher the concentration of baking soda, the greater the effect.

Directions For Baking Soda Use

Mix 1 teaspoon of baking soda with 2 teaspoons of water. Then brush your teeth as normal with the baking soda paste. Again this is very safe and can be done multiple times per week if you wish.

Hydrogen Peroxide As A Teeth Whitener

Hydrogen peroxide is used by your dentist in their own teeth whitening products so we know it is effective and safe when used properly. Your dentist’s products will contain higher concentrations of Hydrogen peroxide. Hydrogen peroxide has been proven to be a natural bleaching agent that also kills bacteria in your mouth. Many commercial whitening products contain hydrogen peroxide, although at a much higher concentration than you will use.

Using hydrogen peroxide in high concentrations or lengthy times can cause damage to your teeth’s enamel layer so it is important to use under supervision.

Directions For Use

Common concentrations of hydrogen peroxide at the drugstore is a 3% solution. You can and should dilute this concentration to 1.5% by mixing equal parts peroxide and water.

Another way to use hydrogen peroxide is by mixing it with baking soda to make a toothpaste. Combine 2 teaspoons of hydrogen peroxide with 1 teaspoon of baking soda and gently brush your teeth with the mixture.

Limit the use of this homemade paste to a few times per week. Overuse can erode your tooth enamel with extended use.

Apple Cider Vinegar For Teeth Whitening

Historically, apple cider vinegar is used as a disinfectant and natural cleaning product. The main ingredient is acetic acid which effectively kills bacteria. This bacterial agent can also make it effective in the mouth.

A study performed on cow teeth found that apple cider vinegar does indeed have a teeth whitening effect on teeth. Unfortunately, they also found that vinegar may erode the enamel layor of teeth. Apple cider vinegar should not be used daily. You should also limit the amount of time that apple cider vinegar is in contact with your teeth

Apple Cider Vinegar Directions

Dilute the vinegar with water and swish it around in your mouth for several minutes. Make sure to rinse your mouth with plain water afterwards to limit the acid effect on your teeth throughout rest of day.

Fruits and Vegetables

Strawberries are believed to help with teeth whitening.

Strawberries

Teeth whitening with a strawberry and baking soda mixture is a natural remedy for teeth whitening. Favorites of this method claim that the malic acid found in strawberries will remove staining present on your teeth, while the baking soda will wipe away stains.

While strawberries may help exfoliate your teeth and make them appear whiter, they are unlikely to penetrate the stains on your teeth. Recent studies have found that a strawberry and baking soda mixture produced little to no color change in teeth, compared to commercial teeth whitening products.

Do not use this teeth whitening method more than a few times a week to be safe.

Natural Teeth Whitening Conclusion

Teeth whitening comes in many forms but nothing replaces dental hygiene to limit the stain build up as well as plaque build up. Remember to speak to your dentist before undertaking any of these teeth whitening regimens to ensure safety for your teeth and periodontal tissues.



Is there such a thing as an exceptional dentist? We use these big fancy words like exceptional a little too easily at times to describe things in our lives. The definition of an exceptional dentist is one who is unusually good or outstanding at dental care. Visiting the dentist is usually not the #1 choice for us as we plan our day. But it is an important part in maintaining our smiles and our overall health. Shouldn’t you choose an exceptional dentist to make your dental visits easier? Below you will find some qualities to look for when choosing an exceptional dentist. An exceptional dentist strives to make the patient their first priority throughout dental care and to give you something to smile about after every visit. Though visiting the dentist is something we all consider a necessity, being able to personally connect one on one with a dentist who deeply cares about you as a person is what makes someone look forward to – rather than dread — dental visits. It is taking the time to not only engage with patients, but to properly select and extensively train all personnel with that same outlook that causes patients to make an exceptional dentist successful.

Exceptional Dentist Education

This can include where the dentist went to dental school. But I would recommend looking beyond that and see how they have maintained that education over the years. Continuing education hours are mandated by most state boards year over year to maintain a state dental license. Is your dentist taking classes to further their growth as a dental care specialist or are they just doing the requirements. Dentistry is a rapidly changing field in technique and dental materials. An exceptional dentist will constantly seek out new opportunities to grow as a dentist to better themselves and offer newer services (like Botox or Juvederm) to widen the scope of their practice.

Cleanliness Of Office

This should be high on anyone’s list as they search for an exceptional dentist. With so many blood borne diseases infection control is a priority for all dental offices. A dental office that strives for the highest quality sterilization techniques should be a priority as a patient when choosing an exceptional dentist.

Friendliness Of Staff And Dentist

A friendly staff should be a requirement as well when searching for a dentist. The staff should be accomodating and willing to answer any and all questions to make you feel at ease and at home. Your dentist should be willing to discuss treatment options to see what best fits your needs. Dentistry is personalized care and not one size fits all. If your dentist does not see that it might be time to find a new dentist. An exceptional dentist will take the time to review options with you and make the decision with you and not FOR you.

Exceptional Dentist Comfort

Dentistry can be an uncomfortable experience for many. It does not need to be that way. You should have confidence in the staff around you. They should make every effort to make you feel as comfortable as possible. This could be something as little as providing a blanket if cold or offering you music to listen during the dental procedures. An exceptional dentist will not settle for anything less than a comfortable experience for their patients.

Quality Of Dental Care

Dental care should always be exceptional even when other items above might be lacking. An exceptional dentist will perform under all circumstances giving you the highest quality dental care available.

Convenient Scheduling

An exceptional dentist will go out of their way to work with your schedule to make dental care more of a convenience instead of an obligation. This also will pertain to after hours emergencies. Will your dentist see you outside of regular office hours?

Exceptional Dentist Reviews

Do your research. Most dentists have reviews online and an exceptional dentist will have many reviews with high ratings. It is not always the rating that is important it is the actual words of the review. Read the reviews carefully to get an idea of others experiences.

Exceptional Dentist Conclusion

Choosing a dentist can be a daunting task. With the tips outlined above you should find an exceptional dentist that will be able to handle you and your family’s dental care for a lifetime.



Dental implants vs bridge is a question many patients are faced with when attempting to replace a lost tooth or multiple teeth. The traditional dental bridge was the main dental procedure used by dentists for a very long time to replace missing teeth. As dental implants have become popular due to long term success rates the traditional dental bridge has become in many people’s mind the lessor alternative. Dental implants vs bridge is an interesting scenario as they both achieve the same thing but in different ways. The dental implants vs bridge debate is one that many of us will face in our lives. Below are some facts about both to help with your decision.

Dental Implants Vs Bridge Procedure

Steps For A Dental Bridge

During the first visit to your dentist for the fabrication of a dental bridge, the teeth surrounding the missing tooth are prepared to accept a dental crown. The preparation involves removing the outer layer of teeth to allow for a dental crown to be placed over top them. Next, dental impressions of the teeth are taken, which give the dental lab technician a precise dental model from which the dental bridge, pontic (fake tooth between the dental crowns), and dental crowns will be fabricated. Your dentist will create a temporary dental bridge for you to wear to protect the exposed teeth and gums while the dental bridge is being made. This generally takes about 2 weeks.

At the second visit, your temporary bridge will be removed, the temporary cement will be cleaned off the teeth, and the new porcelain or metal bridge will be checked and adjusted, as necessary, to achieve an ideal fit. Depending on how extensive the dental bridge is multiple visits may be needed to check the fit of the metal framework and ensure the bite is correct. This is dependent on each individual’s case as metal can distort as well as teeth moving ever so slightly during time in between visits. If the fit is acceptable to the dentist, the dental bridge will then be cemented permanently in place. In the discussion of dental implants vs bridge, a traditional bridge is placed in only one way (cemented) while a dental implant can be placed in 2 different ways (screw retained or cemented).

Steps For A Dental Implant

Initial Consultation. At this initial appointment, your dentist will complete a thorough dental examination, including all necessary x rays, and then take dental impressions of your teeth. After your dentist gathers all the necessary preliminary information, your dentist will talk with you about the recommended treatment plan. You may also discuss at this time whether or not there is a need for a bone graft. At this visit, you can ask about the dental implants vs bridge discussion. Your dentist will happily review the positives and negatives with you.

Bone Grafting And Teeth Removal. If the tooth needs to be extracted, your dentist will evaluate the bone density and quality and decide if a bone graft is necessary. The bone graft will add 4-6 months generally to the time line. This extra time gives your bone time to heal properly and add the new bone structure.

Dental Implant Placement. Once healing has taken place you will be ready for the dental implant placement. The procedure generally takes about 1-2 hours and completed under anesthesia. Once the dental implant is placed, you will need approximately 6 months for healing to take place and the dental implant to integrate into the bone (this process is called osseointegration).

Healing Cap And Temporary Dental Crown. With the dental implant fully integrated in the bone, your dentist will attach what is called a healing collar to the top of the dental implant. This healing collar will allow the gum tissue to form around the implant in a natural looking way. The healing collar is simply a round piece of metal that keeps the gum tissue away from top of implant. The healing cap stays on for about 7-14 days. In some cases a temporary dental crown is fabricated as well at this visit.

Abutment Placement. The healing cap will be removed and a dental implant abutment will be replace it. This abutment will be where the new dental crown will attach (either thru a screw or cement). Once the abutment is in place, your dentist will take a dental impression and send it off to the dental laboratory for fabrication of your new dental crown.

Permanent Dental Crown Placement. The dental implant and dental crown should be a permanent fixture without the possibility of tooth decay forming over time like a traditional dental crown or dental bridge.

Dental Implants Vs Bridge Maintenance

This is where a dental implant will shine in the debate of dental implants vs bridge. A single dental implant will be cleaned just like your natural teeth. This means you can floss around the tooth just like a natural tooth. A dental bridge since it is one longer piece encompassing multiple teeth you will not be able to use regular floss. You will need to use what is called a floss threader. This will allow you to get under each part of the dental bridge and effectively clean around the areas of the dental bridge. This can be an issue for some patients with dexterity issues.

Dental Implants Vs Bridge Cost

The dental implant will require more time (at least 6-7 months in best case) to allow for each step to be completed and healed properly. The dental implant tends to cost more overall especially if bone grafting is involved. In my opinion, dental implants vs bridge cost will be up to the patient. Time in some cases is just as important as the financial factor.

Dental Implants Vs Bridge Pros And Cons

Dental Implants Vs Bridge Las Vegas Marielaina Perrone DDSDental Implant Positives

-Surrounding Teeth Unaffected. With a dental implant, there is no need to shave down possibly healthy tooth structure in adjacent teeth as there would be in a traditional dental bridge.

-Success Rate And Durability. Dental implants should with proper care last a lifetime and have a better than 98% success rate.

-Bone Loss Prevention. With a dental implant in place, your bone structure will remain as is and not resorb or break down. This is what happens when a tooth is missing in an area of the mouth

Dental Implant Negatives

-Surgery Required. A big negative in the dental implants vs bridge debate. This is especially true of those with dental phobia.

-Healing Time Needed. As mentioned above a minimum of 6-7 months are needed in the best case scenario to complete a dental implant procedure from start to finish.

-Financial Expense. There is generally a slightly higher fee for a single dental implant vs bridge and could go even higher if other procedures are needed like a bone graft.

Dental Bridge Positives

-Permanent. The dental bridge will be cemented in place and will never be removed to clean unless your dentist finds an issue.

-Simpler and Quicker Dental Procedure. Generally takes only 2 dental visits and can usually be completed in about 2 weeks time. This can be a huge positive for many in the dental implants vs bridge discussion.

Dental Bridge Negatives

Dental Hygiene More Difficult. With a dental bridge, you must brush and floss under and around the false tooth. Using floss threader as mentioned above may be difficult for some. Dental hygiene maintenance is a must if there is any chance of long term success for a dental bridge.

-Lifespan Shorter. A dental bridge generally lasts about 7-10 years. Some dental bridges can last longer and some can fail sooner. This is due to the wear and tear on adjacent teeth (these teeth remain susceptible to periodontal disease and tooth decay. Either tooth decay or periodontal disease can weaken support for the dental bridge.

-Surrounding Teeth Affected. A dental bridge requires support from the surrounding teeth that are used to hold the artificial tooth in place. If these teeth are not strong enough to have dental crowns, a dental bridge might not even be possible.

Dental Implants Vs Bridge Conclusion

Choosing dental implants vs bridge can be a difficult decision. Your dentist will help guide you through the process and help you make an educated dental implants vs bridge decision that is best for your smile. It is important to maintain regular dental visits no matter which side you choose in the dental implants vs bridge decision.