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




Dental implants cost can vary greatly from patient to patient. Dental implants cost will be based on highly variable items. Dental implants are a highly customized procedure and based on factors that present from patient can add or deduct from dental implants cost. No two patients in dentistry will ever be the same in terms of procedures performed or the cost of the procedures. Dentistry is highly customized to give every patient the best smile for not only their function but also for cosmetics.

Factors Contributing To Dental Implants Cost

One or Two Step Process.

One Step Dental Implants: Same day dental implant procedures can be done for some patients. This can include the all on 4 dental implants procedure. Same day vs multiple visits does not have as great an impact on dental implants cost as some of the factors below.

Two Step Dental Implants: This dental implants procedure requires multiple dental surgeries and is often recommended the best option for people who do not have proper bone density to fully support dental implants immediately. The dental implants are placed in the jawbone and are covered by gum tissue while fully healing. This allows bone to integrate (called osseointegration) around the dental implant, creating a far stronger support for the crowns with better long term prognosis. A second dental visit is required to add the abutment and crown. Today, this is more common than the one step version. Again dental implants cost depends on additional procedures to rise or fall.

Dental Implants Marielaina Perrone DDSPossible Pre Surgery Testing. This can include an MRI or X rays to gather a clear view of the jaws, nerves, and surrounding structures. This is not routine for most patients but can add significantly to dental implants cost.

Number Of Teeth Being Replaced. If it is a single dental implant that will have a different dental implants cost then if it was multiple teeth. Now if it was a whole mouth restoration like an all on 4 dental implants process that will have an even higher dental implants cost.

Location Of Teeth Being Replaced. Different dental materials are used in different areas of the mouth which will add or deduct from dental implants cost. A dental implant crown in front of your mouth will be made from a different material from one in back. This is due to the cosmetics as well as function. A molar tooth in back will need to be stronger than one in front to absorb all the forces while chewing. There is also the angle of the teeth being replaced. No every situation is ideal and this has led to development of different dental materials to accomodate those who need different angulation. This too will drive up the dental implants cost due to it being more complex and requiring special parts or modifications.

Are Extractions of Teeth Needed? This will also add to the overall dental implants cost.

Density Of Existing Bone. Adequate amount and quality of bone is necessary for long term success of dental implants. If you have low bone density you still may be a candidate for dental implants but you would require extra time and procedures for this to occur. The addition of a bone graft (to fill in bone and raise bone density) or a sinus augmentation will raise the dental implants cost as well.

Overall Dental Health. Patients suffering from periodontal disease or other oral diseases will need dental treatment prior to considering dental implants. These procedures can range from periodontal flap surgery to extensive professional cleaning and debridement of periodontal tissues. This will also drive up dental implants cost.

Payment Options To Help With Dental Implants Cost

Many insurance companies will now subsidize dental implants cost. They have recognized it as a proven procedure with little risk to their bottom line. If yours does not offer this coverage, consider calling them and see if they will give you an allowance towards dental implants cost in lieu of a traditional dental bridge or removable dentures.

Third Party Financing – Many dentists use in house financing options. A good example of this is called Care Credit. This will allow you to borrow money to pay for dental implants cost.

In Office Financing – Some dentists will allow payment plans for dental treatment to spread out the dental implants cost over time. Speak to your dentist if this is an option for you.

Is Dental Implants Cost A Major Factor In Choosing Dentist

Dental implants cost or any dental cost can be a major factor in choosing a dentist for you and your family. However, choosing the right dentist will save you money over time and treatment will be correct the first time it is done. It is important to find an experienced implant dentist when looking at dental implants as an option.

What if you see an ad in local paper with exceptionally low prices for dental implants? Consider, do these dental implant prices sound too good to be true? You know what they say about something sounding too good to be real. The key is to ask the right questions of an implant dentist you know you can trust. As mentioned above there are many factors that go into dental implants cost. Does the low price include bone augmentation, soft tissue treatment, extraction? Ask if the crown is manufactured locally if there is an issue, what the size of the implant is, and even what material the final dental crown is made of.  Not all dental crowns use the proper metals for long term success. Your dentist will be happy to answer your questions because an informed patient is the best patient.

Dental Implants Cost Conclusion

Dental implants can be very difficult to price due to them not being locked into a single dental procedure. The initial step is to surgically place the titanium dental implant into the jaw where the tooth or teeth are missing. This dental implant surgery could be simple or could require more extensive additional treatments such as a sinus lift or bone graft. Once the bone around the dental implant has healed sufficiently, an abutment can be screwed into the dental implant and then a crown can be cemented or screwed into the abutment. The whole process can be incredibly simple or quick or very complicated depending upon a number of individual factors explained above. Ask your dentist about dental implants cost and they can give you a better idea of what your treatment cost would look like.




Blood thinners are prescription medications taken by many dental patients. Blood thinners are used in medicine to prevent potentially fatal blood clots. Blood clots can lead to stroke, heart attack, deep vein thrombosis (DVT), or pulmonary embolism (PE). These blood thinners prevent clotting they cause a possible danger to dental procedures that may cause bleeding. The lifesaving benefits of these drugs very often outweigh the potential dangers they can have for you.

How Does Blood Clotting Work In The Body?

There are two main processes by which the body forms a blood clot normally. The first process involves platelets (small blood cells) which goto the site of a wound and clump together to form a plug which slows the flow of blood through the vessel and forms a covering to begin the healing process. The next phase of the process is called coagulation when proteins in the blood bind with each other to fill in the gaps between the platelets, stabilize the clot formation, and make it more solid until bleeding stops.

Medicines Used As Blood Thinners

There are 2 types of blood thinners. They are as follows:

-Antiplatelet – These blood thinners include aspirin, Ticlid (ticlopidine), and Plavix (clopidogrel). These medicines target the initial phase of the clot process by preventing platelets from binding to the blood vessel walls or to one another.  Aspirin is a good example of how these medicines act on the body. The mechanism by which Aspirin achieves this is by Aspirin Marielaina Perrone DDScreating permanent changes in the platelets which last throughout the lifetime of the platelet (approximately 7-10 days). This can only be reversed once the body produces new platelets that have not yet been exposed to Aspirin.

-Anticoagulant – These blood thinners include Coumadin (warfarin). Coumadin works by inhibiting the second phase of blood clotting by blocking production or the function of proteins that stabilize the clot (also called anticoagulation). For Coumadin it generally takes several days after the beginning the medication for it to reach its full anticoagulation effect,  and then again several days after the medication is stopped for the anticoagulation effect to cease.  Many foods and other medications can affect coumadin by either increasing or decreasing its effectiveness. Your physician will need to frequently monitor to check your level of anticoagulation activity. Newer anticoagulants have come to market and these include Pradaxa (dabigatran), Xarelto (rivaroxaban) and Eliquis (apixaban). These medications have an advantage over coumadin in that they do not need as long a time as coumadin to reach their full anticoagulation effect, and also to stop that effect when discontinued.  The downside is their anticoagulation activity cannot be monitored as easily as it is for coumadin. Another medication, Lovenox (enoxaparin)is used in prevention of pulmonary embolism (PE) and Deep vein Thrombosis (DVT). These blood thinners are given through self-injection.

Dentist Preparations For Blood Thinners

Generally, bleeding from dental procedures is fairly easy to control and bring to a stop, even in patients who are taking these blood thinner type medications. It is important to note that both the effect of these medicines on blood clotting and the potential for bleeding from dental procedures can vary quite a bit from individual to individual. So each patient must be considered individually based on their clotting factor and the dental procedure being performed. A consultation with the patient and their physician can lead to a change in dose prior to dental procedure or even stopping the medication altogether to complete the dental work.

It is very important for those on blood thinner medications to communicate with your dentist regarding medical history. Your dentist will ask you to provide a complete medical history including:

-All medical conditions (including heart disease, irregular heartbeat, stroke, liver disease, kidney disease, and/or history of blood clots)

-All medications currently being taken. Not just blood thinners but all medications. This is important because they could interact with what your dentist is using as well.

-Treating physician information

-Reason for taking blood thinners

-Anticipated time that you will be on blood thinners

-The results of your monitoring of the effects of these agents (blood test results)

-Any issues that have arisen with your blood thinners.

Your dentist may ask to run some tests prior to your dental treatment and call your physician before attempting to do the dental procedure(s). Your dentist may ask to do the dental procedure in one of 3 ways:

-Continue taking blood thinners as normal with no changes.

-Alter the dose or type of blood thinners for a short period of time

-Stop the blood thinners prior to the dental procedure.

Precautions may also be taken by your dentist before, during and after the dental procedure to reduce the chances of significant oral bleeding. It is important to not that you should never discontinue or change your blood thinners or dose without the advice of your physician and dentist. It is also important to be aware that over the counter medications such as Motrin, Advil and Aleve, can also increase the anti platelet effects. Additionally “non-traditional” medications can interfere with, or increase the effects of your anticoagulant medications.

Dental Procedures With Bleeding Risks

The following procedures are the ones most linked to increased bleeding.

-Professional teeth cleaning (also referred to as dental prophylaxis)
-Scaling and root planning (also referred to as a deep teeth cleaning)
Periodontal surgery
-Tooth extractions
Dental implant placement
-Biopsies

Blood Thinners Conclusion

Being on blood thinners comes with many benefits but also some risks. We can minimize these risks at least on the dental side by communicating properly to have your dental procedures completed safely and successfully. Remember, to maintain a regular dental hygiene and dental examination schedule for a healthy smile.





Smile Design is an individualized treatment plan to improve the overall appearance, feel and most importantly the function of your smile to be one with your unique facial features. Our smiles are unique to each of us. They all have their quirks but for some a change is in order to make us feel more confident about ourselves. An experienced cosmetic dentist can perform what is called a smile design. This will allow your cosmetic dentist to show you what can be done to give you the smile you always dreamed of. Smile design is just planning out the treatment steps necessary to achieve the goal you are looking for.

Treatment For Smile Design

Some of the dental procedures that can help with smile design include:

Porcelain Crowns. This is a type of dental crown that will give the cosmetic appearance most patients are looking for but also give the strength and stability to be functional. Where teeth grinding is a problem your cosmetic dentist will use a specialized dental crown called a Bruxzir crown. When designed properly, a patient will begin to see an immediate improvement in their bite as well in the esthetic appearance in the skin around the face as wrinkles will soften due to a fuller smile.

Marielaina Perrone DDS Cosmetic DentistPorcelain Veneers. Ideal procedure for use in smile design cases. A hallmark treatment of cosmetic dentistry but used in addition to porcelain crowns to lengthen and restore the length of front teeth to their original dimensions. Often called “instant orthodontics” in smile design discussion, porcelain veneers give the dentist the ability to change the alignment of teeth, if the alignment issues are not too extreme.Porcelain veneers are far less invasive and a more conservative treatment than porcelain crowns. For teeth that do not require a full coverage crown, porcelain veneers are an ideal cosmetic dentistry tool to adequately lengthen and reshape, and alter the color of your smile.

Orthodontics. Can be limited or full orthodontics treatment. Comprehensive orthodontic treatment may be necessary to remove any bite issues that can cause added stress or trauma to the teeth before new restorations are placed.

Dental Bonding or Tooth Bonding. May be used to restore any teeth that have been damaged by tooth decay, staining or even wear to the edges. Dental bonding is a cosmetically pleasing option that will look very natural when completed and if designed properly match the rest of your smile.

Facial Asymmetry – In many of us, the muscles of the face may be asymmetrical leading to an imbalanced look to the face which if not properly planned for would give us a deficient smile design. Botox is a new treatment option in smile design for many cosmetic dentists. Botox when used properly in smile design can restore facial symmetry by balancing the facial muscles. Eyebrow lift, or depression of the brow can be enhanced with properly placed botox or dermal fillers (like Juvederm).

Gummy Smile – This is when a person has a smile that shows too much gum tissue. This usually results from 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.

Crown Lengthening. A dental surgical procedure to expose more tooth structure so that there is enough room to properly place a crown. This is often necessary in patients with severe teeth grinding issues. This is an example where a good smile design will foresee these issues in advance.

Gum Tissue and Bone Grafting and Recontouring. Lost bone and gum tissue can often times be grafted to help regrow them. They can also be reshaped surgically to be healthier, easier to keep clean, and more cosmetically appealing.

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.

Smile Design Las Vegas Conclusion

Smile design is just a fancy term for planning out treatment in advance to achieve the goals the patient has in mind. This takes effort and communication of all aspects of your dental team not only the dentist. A poor smile design will leave poor results but a well planned smile design can give you the smile you always dreamed of and more!”,





Dental Bridges are fabricated out of 2 or more dental crowns covering teeth on either side of the missing tooth (there will be a gap present). Dental bridges literally just bridge the gap created my at least one missing tooth but can be multiple missing teeth the dental bridge is replacing.

Bridges are made up of 2 or more dental crowns for the teeth on either side of the space . These 2 or more anchoring crowns are referred to as anchoring abutments. A false tooth or teeth is located in between. These false teeth are referred to as dental pontics and can be fabricated from gold, alloys, porcelain, or a combination of any of these dental materials. Dental bridges can supported by either natural teeth or dental implants.

Benefits Of Dental Bridges

Dental Bridges can do the following for you:

-Restore your smile to its fullest potential by replacing lost teeth

-Restore your ability to properly chew and speak

-Maintain and restore the shape of your face

-Allow for even distribution of the forces in your bite properly by replacing missing teeth

-Prevent remaining teeth from drifting out of position. If this happens more damage can occur as your bite changes

Types of Dental Bridges Available

Traditional dental bridges involve fabricating a dental crown for the tooth or implant on either side of the missing tooth, with a dental pontic in between. Traditional dental bridges are easily the most common type of dental bridge and are made of either porcelain fused to metal(PFM) or ceramics.

Cantilever dental bridges are prescribed when there are adjacent teeth on only one side of the missing tooth or teeth. This is not a very common with the addition of dental implants to a dentists arsenal and is not recommended in the back of the mouth where the forces can cause damage to the dental bridge as well as surrounding teeth.

Maryland bonded dental bridges (also referred to as a dental resin bonded bridges) can be made of porcelain, porcelain fused to metal(PFM), or plastic resin teeth and gums supported by a metal or porcelain framework. Metal or porcelain wings often on just one side of the bridge are bonded to your existing teeth.

Dental Implant Supported Bridge – implant supported dental bridges can be used when you have more than one tooth missing. Instead of being supported by dental crowns or metal frameworks, this type of dental bridge is supported by dental implants. Generally, 1 (one) dental implant is placed for every missing tooth, and this series of dental implants holds the bridge in place. However, the bridge may consist of a pontic suspended between two implant-supported crowns if placing one implant for every lost tooth is not possible.

Marielaina Perrone DDS Dental Bridges

Office Visits For A Dental Bridge

During the initial visit to your dentist for getting a dental bridge, the abutment teeth are prepared to accept a dental crown. The preparation involves re-contouring these teeth by removing a portion of enamel to allow room for a crown to be placed over them. Next, dental impressions of the teeth are made, which give the lab technician a model from which the bridge, pontic, and crowns will be made. Your dentist will fabricate a temporary bridge for you to wear to protect the exposed teeth and gums while the bridge is being made.

During 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. Multiple visits may be required to check the fit of the metal framework and bite. This is dependent on each individual’s case as metal can distort as well as teeth moving ever so slightly. If the fit is acceptable to the dentist, the dental bridge will then be cemented in place.

Dental Bridges Cost

The overall cost of a dental bridge varies depending on the type of bridge selected and the materials used by your dentist. Dental insurance, if you have it, will typically pay a percentage of the fee for your dental bridge depending on the individual dental plan.

How Long Will My Dental Bridge Last?

Dental bridges can last five to 15 years and sometimes even longer. With a good oral hygiene regimen as well as regular dental checkups, it is not unusual for dental bridges to be still going strong after 10 years. It will depend on each individual in the end.

Eating With Dental Bridges

Eating should be easier once the dental bridge is in place. This is because you will no longer have a gap for food to get trapped into.

Caring For Dental Bridges

Following a good oral hygiene regimen of brushing, flossing, and rinsing along with regular dental examinations with dental cleanings is all you will need to do. The better dental hygiene you maintain the better chance of that dental bridge lasting a long time. Flossing will be more of a challenge as you need to thread the floss under the bridge to keep it clean. Your dentist will recommend floss threaders to use. This will allow you to get under the bridge and properly keep it clean and healthy.

Dental Bridges Conclusion

Your dentist can close the gaps in your smile with one of the 4 types dental bridges to restore your smile. With so many types of dental bridges available, you can feel confident that your dentist has an appropriate solution for your missing teeth.