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Comprehensive dental care is when a dentist provides a full range of dental health services for diagnosis, treatment, follow-up, and rehabilitation of a patients smile. This will include thinking about not only a person’s smile as a singular item. It will include a person’s functional health as well as facial esthetics.

“We believe in a comprehensive dental care approach to restorative and cosmetic dentistry, that fully integrates health, comfort, and beauty.” – Marielaina Perrone DDS

The human body acts as a complex group of systems and never acts in isolation. In comprehensive dental care, it is very similar in how we look at the patient and their smile. The teeth may be the focus of our smiles but they do not work in isolation either. In comprehensive dental care, we look at the soft tissues as well as the hard tissues to create a treatment plan that is personalized for you. This can and will include the TMJ joint, the muscles of the face, and how the teeth fit together (also called occlusion). Often times, a deeper dental examination Comprehensive Dental Care Las Vegas Marielaina Perrone DDSwill reveal issues with the occlusion or over active muscles. This can show as uneven wear of the teeth which can be due to genetic issues or stress. A comprehensive dental care examination will reveal these deeper functional flaws that can affect the cosmetics of your smile.

Comprehensive Dental Care Personalized

A well trained dentist with comprehensive dental care experience will know to look beyond the issue at hand and ask why did that happen? If we examine the smile in a comprehensive dental care way of looking at things, we realize a tooth extraction is not a singular event. Once that tooth is removed, there will be changes to our occlusion as well as our esthetics. This can have long term implications to a person’s overall dental health. Treating “just one tooth” is often not the best interest for your long term dental health. Below are some dental procedures that are included in comprehensive dental care to treat function and cosmetics as one:

Porcelain Crowns. This type of dental crown combines strength and beauty into one package. Porcelain crowns have the esthetics patients desire for their smile but the strength demanded by patients and dentists for function. When porcelain crowns are used properly, a patient will begin to see an immediate improvement in their occlusion and in the cosmetic appearance in the skin around the face as wrinkles will lessen. The wrinkles will lessen because the occlusion will be “raised” forcing the skin around the mouth to stretch slightly. Using dental crowns for this purpose is called bite reclamation.

Porcelain Veneers. Known as part of the Hollywood smile. Porcelain veneers are sometimes referred to as “instant orthodontics” because they have the ability to realign teeth vs wearing orthodontic braces. Porcelain veneers are more conservative than porcelain crowns and are purely cosmetic in nature and cannot be used to reclaim lost occlusion height.

Dental Implants. Dental implants are highly successful for replacing one or more teeth. These would be an integral part of comprehensive dental care especially for larger scale smile restorations.

Orthodontic Braces Or Invisalign. Many people see orthodontics or invisalign as a purely cosmetic treatment for adults. However, in comprehensive dental care your dentist will see that re aligning the bite will result in straighter teeth but it will also bring those teeth into harmony with one another. This will place less stress on the teeth thru their daily functions as well.

Tooth Bonding. can be used to repair a tooth damaged by trauma or tooth decay. These tooth colored restorations can make an immediate improvement to your smile.

Facial Asymmetry. In comprehensive dental care, your well trained dentist will evaluate not just the smile but also the entire face. By looking beyond the smile, they may be able to see certain asymmetry’s in the alignment of your face. The use of botox can be used to balance the facial muscles and bring them into harmony with your smile. An eyebrow lift or aComprehensive Dental Care Marielaina Perrone DDS depression of the brow can also be enhanced using botox applications.

Gummy SmileThis occurs when too much gum tissue is exposed upon smiling. This usually is the result of the lip rising too high when smiling. Injecting Botox into the upper lip weakens the retractor muscles of the upper lip so that it won’t raise as high and your smile will appear better balanced. In comprehensive dental care, your dentist will see this immediately and factor this into your treatment plan.

Crown Lengthening. This is a comprehensive dental care surgical process whereby your dentist will remove bone around a tooth to expose more of the tooth into the mouth. This is often needed in patients with a severe grinding issues to reclaim lost occlusal height.

Gum and Bone Grafting and Recontouring. Both gum tissues and bone tissues can be grafted in to replace lost tissues in comprehensive dental care. These have both functional and esthetic concerns. Functionally, adding more bone will aid in support of teeth and adding gingival tissues can cover exposed roots alleviating tooth sensitivity and stop tooth decay from forming on the roots of your teeth. Cosmetically, these grafts can restore your smile to its youthful glory.

Teeth Whitening. Many of our worn teeth are also dark and discolored. The color you desire to reach may require a dental whitening process, or simply a whiter color bonding restoration or a whiter colored porcelain restoration. Teeth whitening is included in comprehensive dental care because it will be usually a priority for most patients when trying to rejuvenate their smiles.

Juvederm Dermal Fillers. These fillers can be used to turn back the clock and fill in areas that time has changed. Again bringing about a balance between function and smile is a hallmark of comprehensive dental care.

Comprehensive Dental Care Conclusion

A dentist who is well trained in comprehensive dental care will be able to spot problem areas quite easily. Some areas are hidden but a deeper look during a dental examination and they will be revealed. Some issues will not have longer term implications while others may. It is important to recognize the difference between the two so the proper recommendations can be made to the patient.

 



Cosmetic dentistry deals with much more than just an esthetic result. A well trained cosmetic dentist will be just as concerned with function as well as cosmetics. Without proper function, any cosmetic dentistry will ultimately fail over the long term. Below will be some of the most common cosmetic dentistry procedures your dentist can perform to bring new life to your smile.

Common Cosmetic Dentistry Procedures

Cosmetic Teeth Whitening. Probably the most popular cosmetic dentistry procedure due to its quick results and relatively low cost. Teeth whitening can be performed at home by the patient or in the office by your cosmetic dentist. Your teeth have pores and anything we eat or drink that has color will absorb into those pores. Wine, coffee, dark berries, and smoking are the main culprits in staining our teeth. As we get older, the natural color of your teeth becomes darker and darker due to these stains. These stains will not go away without intervention by your cosmetic dentist. Not every patient will achieve the same cosmetic dentistry results, so it is very important to check with your dentist first to see what to expect.

Cosmetic Dentistry Henderson NV Marielaina Perrone DDSCosmetic Porcelain Veneers (or even composite veneers). Porcelain veneers are a thin shell of porcelain similar to a fingernail. They are custom made in a dental laboratory and cemented in place over your teeth to transform your smile. Porcelain veneers are sometimes called “instant orthodontics” in cosmetic dentistry because they have ability to realign slightly crooked teeth. Porcelain veneers also have the ability to change the color of your smile, repair chipped teeth, or close gaps between your teeth. This is a staple of cosmetic dentistry and a well trained cosmetic dentist can dramatically change your smile quickly.

Cosmetic Porcelain Crowns. These are custom fabricated to restore function and esthetics to your smile. Porcelain crowns are utilized in cosmetic dentistry by your cosmetic dentist to restore teeth that have been damaged to trauma, tooth decay, or to close gaps between teeth. All porcelain crowns are ideal to restore a front tooth as they are translucent and designed to look like your natural teeth.

Cosmetic Dental Implants. A dental implant is a titanium root structure designed to replace a missing tooth or teeth. A dental implant is surgically implanted into the jawbone where the tooth is missing. Unlike a dental bridge, a dental implant is permanent, this is because the dental implant becomes one with surrounding bone (process is called osseointegration). A dental implant is designed to act as the tooth root. Once integrated it can be used as a platform to replace a single tooth, multiple teeth, or even be support for a full denture. Dental implants are the closest you can get to a natural tooth in function. They give you the freedom to confidently eat, smile, laugh, talk, and enjoy all of your everyday activities without worrying about your smile. These can be used in cosmetic dentistry along with other procedures to restore your smile.

Cosmetic Teeth Recontouring. Also called tooth enamel shaping. A misshapen tooth can be lightly shaped by your cosmetic dentist in a painless procedure but it can have a dramatic effect on your smile. It is common to do this if you have protruding mamelons. A mamelon is a rounded protuberances which are present on the cutting edge of an incisor (front) tooth when it first erupts into the mouth. Generally, they wear away over time as we grow up but for some they need help in removing them.

Cosmetic Dental Bonding. Also called tooth bonding. Dental bonding is the cosmetic dentistry procedure in which tooth-colored materials are bonded to the tooth to repair tooth decay, repair a chipped tooth, or even close a gap between teeth.  These tooth colored materials are bonded using chemistry and a special light which hardens the material in seconds.

Cosmetic Orthodontic Braces. Adult orthodontics have become very popular in cosmetic dentistry especially with introduction of invisalign orthodontic system. Your cosmetic dentist can make small adjustments to one or a few teeth or a major overhaul using more traditional orthodontics treatment.

Cosmetic Dentistry Conclusion

Cosmetic dentistry can transform any smile but function is the key. Make sure you see a well trained dentist who knows that function trumps cosmetics. If a dental restoration is not functional it will not last and withstand the stresses of the mouth. Cosmetic dentistry can be what is missing from your smile. Ask your dentist today to transform your smile.



Are Dental Implants Safe? They have been a highly successful dental procedure offered by dentists around the world. As a matter of fact a well planned dental implant will have success rate over 98%. As dental implants technology has evolved materials and techniques have advanced as well. Below we will attempt to answer the question….Are Dental Implants Safe?

Are Dental Implants Safe? Benefits

EstheticsDental implants have the ability to give you a fuller, healthier smile you have always dreamed of.

Peace Of Mind. Living your life in fear of what you can and cannot eat is not a fun proposition. Dental implants can give you peace of mind that you can eat whatever you want and not worry about the social implications. Millions of patients have proven the answer is yes to the question are dental implants safe?

Improved Function. Big improvement in eating and speech. With missing teeth, eating and speaking can be quite a challenge. For those who enjoy eating or need to speak in front of others dental implants can give a huge boost.

Are Dental Implants Safe Henderson NV Marielaina Perrone DDSEliminate Health Issues. Clinical studies have shown a direct link between dental health and overall health. Dental implants can restore your mouth to a healthy state giving you an edge in maintaining overall health. Uncontrolled dental health can lead to the development and advancement of periodontal disease. This disease is quite progressive and if left untreated it can lead to cardiovascular disease (heart attacks and stroke), Alzheimer’s disease, and even diabetes. Once patients are ready for dental implants, their mouth must be in a healthy state. Dental implants will lead to better overall health.

Life Quality Improvement. Dental implants give you a natural looking smile and improve overall function. This is especially true for wearers of dentures. Dental implants will allow you to free yourself of the use of denture adhesives and relieve you of discomfort from ill fitting dentures.

Increased Self Esteem and Self Confidence. This includes being able to smile effortlessly without fear. Dental implants look and feel just like real teeth. You can laugh, smile, and just feel good about who you are and the way you look.

Are Dental Implants Safe? Risks

Dental Implants Fail To Integrate. When dental implants heal properly they integrate with the surrounding bone (this is called osseointegration). If osseointegration does not occur it will lead to dental implant failure. A well trained implant dentist will be able to evaluate and treatment plan properly to minimize the risks associated with dental implants. If a dental implant does not integrate as planned it can be removed. Once the area has healed another surgery can be attempted at a later date.

Surgical Infection. Of all the risks associated with dental implants this is the most common. This can occur from non sterile intruments, a dental implant that has been contaminated, decreased healing ability, or a pre existing infection being present. Dental implants are associated with a condition called Peri-Implantitis. This is an inflammation or swelling of the surrounding tissues where the dental implant was placed. If peri-implantitis is not treated properly and in a timely manner it can lead to implant failure and bone loss. These infections generally occur quickly after surgery but can in some rare intances occur months to years after surgery. Important to have your dental implants evaluated during routine dental examinations 2x per year.

Post Surgical Bleeding. Minimal bleeding following surgery is normal and is considered quite normal for about 1-2 days following surgery. Placing a gauze pad placed over the surgical area for 30 minutes should normally stop the bleeding. Bleeding beyond that time is not normal and you should notify your implant dentist immediately if you have concerns about your dental implants or the surgery.

Surrounding Tissue Damage. Placement of dental implants is a precise surgery. Surrounding areas can be damaged including adjacent teeth, sinus cavity, or nerves. Once again choose your implant dentist wisely. One with experience and proper training will minimize these risks. Even the most skilled implant dentist can have errors. However, the complications can be minimized as well as how they are handled if complications were to arise.

Allergies. Some patients have been known to have allergic reactions to titanium. If you know you are allergic to titanium let your dentist know during initial discussions.

-Dental Implant Corrosion. Titanium dental implants are designed to fight corrosion but it still can happen. If corrosion were to happen the dental implant likely would need to be removed. Your implant dentist will evaluate what comes next if this were to happen.

Are Dental Implants Safe? Bone Grafts

A bone graft is the replacement or addition to the bone around the teeth. Bone grafting is a term used to describe a variety of procedures used to add or build bone so that dental implants can be placed and give greater success long term.

A bone graft typically involves adding bone or bone like materials to the jaw. The bone graft can consist of your own bone (also called Autologous bone), synthetic bone, can be processed bone obtained from a cadaver (also called Allograft), or can even come from bovine/cow sources (these types are also called Xenografts). After grafting, you generally have to wait several months for the grafted material to fuse or become one with the existing bone structure.  Processed bone grafted materials either cause surrounding bone to grow into the graft or cause cells around the graft to change into bone. Autologous bone transplants bone cells or a block of bone that fuses to the jaw.

Dental bone grafts for the purpose of dental implants has a very high success rate. But there is always a possibility that the bone graft will not work as planned, even if your own bone was used. Bone grafts are not rejected by the body like organ transplants. There is still some mystery as to why some bone grafts fail. We do know that certain patients (example – smokers, diabetics, and patients with poor dental hygiene) have higher risks of graft failure.

A failed bone graft will need to be removed. Once the area has healed properly, you and your dentist may choose to place a second bone graft.

Are Dental Implants Safe? Diabetes

According to a clinical study by the Journal of the American Dental Association, dental implants have been found to be safe for diabetics.

The clinical study observed dental patients with uncontrolled diabetes who also had dental implants. Following one year, none of the dental implants were lost and they found zero connection between elevated blood sugar and dental implant complications.

This does not mean that if you are a diabetic, you will not experience dental implant complications. But having diabetes should not be a major concern for you or your dentist in regards to getting a dental implant.

Are Dental Implants Safe? Conclusion

Dental Implants have proven to safe with decades of dental use. The question should not be are dental implants safe? but are dental implants right for me? Ask your dentist 89014 today for a consultation to restore your smile!

Opting to choose dental implants to replace a lost tooth or teeth can be a difficult decision. Becoming educated on the positive aspects of dental implants can help you choose dental implants in an educated manner. Dental implants when completed by a well trained implant dentist have an over 98% success rate. Below you will find the top 10 reasons to choose dental implants to restore your smile to its natural state and beyond.

Dental implants are the perfect choice for people in overall good dental health who may have lost a single tooth or multiple teeth due to development of periodontal disease, traumatic injury, or just about any other reason. Dental implants are actually more tooth saving than traditional crowns and bridges. If you choose dental implants they will not require shaving  down of healthy adjacent teeth or rely on adjacent teeth for their support.

Choose Dental Implants Las Vegas Marielaina Perrone DDSSufficient bone is necessary to support the dental implants, and the ideal candidates are those that have healthy periodontal tissues that are free of periodontal disease. Dental implants become connected with the underlying bone and periodontal tissues in the mouth. When you choose dental implants it is necessary to have good dental hygiene for long term success. With dental technique and material advances, dental bone grafts are now more successful than ever and can be used to increase your natural bone allowing dental implants to be an option. Be honest with your implant dentist regarding health issues. Clinical studies have shown an increased risk of failure of dental implants in patients who smoke. Generally dental implants are frequently only placed  after a patient has ceased smoking. If you choose dental implants you want to give yourself the greatest chance for success.

Top Reasons To Choose Dental Implants

1. Restore Your Smile. When you choose dental implants versus other forms of tooth replacement they need to be natural looking in appearance. Any dental restoration should restore and enhance your smile back to its natural state. Dental implants as a stand alone dental restoration or a dental implant supported denture should look and feel natural.

2. Prevent Bone Loss. When you choose dental implants, you are choosing to maintain bone height and density in your mouth. When we lose a tooth or teeth, our bodies natural inclination is to have bone resorb since it is not needed in that area when a tooth is lost. With proper placement of dental implants the body responds by maintaining bone in that area. This will maintain a youthful appearance and reduce wrinkling around the lips and mouth.

3. Increased Durability. Dental implants are extremely durable and highly successful. A well placed dental implant that is cared for should last a lifetime. This point alone should make you choose dental implants over traditional dental restorations.

4. Nutritional Enjoyment. With dental implants, food choice will not be a limiting factor. Once dental implants have healed you will be able to eat anything you want without restrictions based on your teeth. This will also lead to a healthier you as you can eat proper nutrition as necessary. With an implant supported denture, patients are able to eat a wide range of healthy foods that can include all the necessary food groups for improved nutrition and health. Chewy and crunchy foods such as carrots, lettuce and apples which are often avoided by denture wearers can be enjoyed once again when you choose dental implants.

5. Increased Self Confidence and Self Esteem. With a natural restoration and enhancement of your smile, you will immediately feel more confident. This can increase quality of life in many ways including increased job opportunities as well as romantic ones. Increased esteem and confidence will also lead to a healthier outlook on life and increased longevity. Traditional removable dentures can often over time become loose and not fit properly. This can cause the dentures to fall out and not be stable in the mouth. When you choose dental implants in combination with a denture it is fixed in place anchored by the dental implants. Your denture will not be able to fall or become loose. This will lead to increased confidence in work and social aspects of your life.

6. Better Articulated Speech. Since dental implants are fixed in place they will act like your natural teeth allowing you to speak without issue.

7. Impossible To Lose Dental Implants. Unlike a removable denture, dental implants are fixed in place and cannot be lost unless removed by your dentist.

8. Increased Convenience And Comfort. Removable dentures are notorious for causing sore spots inside the mouth. As the bones in the mouth remodel, your dentures will need adjustments and possible relining to fit comfortably again. Dental implants will not cause pain or discomfort. Removable dentures can be very inconvenient since you must remove them  at night as well as for cleaning them. They can also require messy adhesives in some patients. Patients with dental implants will not experience these situations as they will stay in the mouth permanently. Traditional removable dentures over time will often require replacement and repair. Dental implants may have an initial cost that is higher than removable dentures, they do not require a lifetime of costly dental maintenance.

9. No Interruption In Taste. Removable dentures are bulky and can interrupt the taste of our foods. Dental implants do not cover up extensive parts of our mouth allowing us the freedom to enjoy the taste and textures of our favorite food when you choose dental implants.

10. Maintenance. When you choose dental implants, you choose a low maintenance option. You will brush and floss just like your natural teeth. Since they are not removable, you do not need to buy special denture cleaners or denture adhesives. It is important to note that dental implants can be subject to periodontal disease or peri implantitis. So it is important to maintain good dental hygiene.

Top 10 Reasons To Choose Dental Implants Conclusion

When you choose dental implants, it is important to choose wisely. An educated patient is the best patient. Making an informed decision will give you a lifetime of smiles. Any questions ask your implant dentist and they can review all options with you.