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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.

 

Thumb sucking can be an all too common habit for many children. It is also an instinctual, natural reflex for many children as a way to soothe themselves. However, over time thumb sucking can be detrimental to a child’s dental and physical development. While it is perfectly natural and healthy when a child is in its infant stages that same habit can become very problematic as they begin to develop teeth and socialize with others.

Is Thumb Sucking Normal?

Yes! It is quite normal. The thumb sucking can occur even in the womb. As infants, children learn about the world thru putting things in their mouths but eventually it becomes a soothing mechanism to make them feel secure and happy and even help them to fall asleep.

Dental Issues From Thumb Sucking

According to the American Academy of Pediatrics treatment for dental problems caused by thumb sucking is generally needed only in children who continue to suck their thumbs past their fifth birthday.

Thumb Sucking Habit marielaina Perrone DDSOnce the permanent teeth begin to erupt and develop in the mouth, the constant thumb sucking may cause dental issues. The common sign is the top teeth push out and upward, and bottom teeth to push inward. This tooth movement due to thumb sucking can cause the following issues:

-Development of a “buck tooth” appearance

-Inability to close the front teeth (open bite)

-Damage to the roof of the mouth

Speech issues

Pacifiers are known to cause similar issues as thumb sucking but the habit of using the pacifier is a far easier habit to break, it can be thrown out, whereas a finger can not. The determining factor if thumb sucking causes dental problems or not, includes the intensity and length of time of the thumb sucking. Checking a child’s thumb for damaged skin and calluses can help determine the severity of the thumb sucking habit. Many children simply rest their thumbs in their mouth and do not actively suck on them. These children are far less likely to develop any long term dental issues from this type of thumb sucking. Aggressive thumb sucking however will have a higher likelihood of developing issues with their primary and permanent teeth if the thumb sucking habit continues.

Speech problems caused by thumb sucking are related to the misaligned teeth, distorted palate, and tongue thrusting. The tongue does not have the ability to find the correct placement for proper enunciation, and the tongue muscle actually needs to be retrained for proper placement of sounds. Tongue thrusting is the pushing forward motion of the tongue when swallowing, causing a continued pressure on the teeth even when not thumb sucking. Speech problems can include not being able to properly say S’s, T’s and D’s, lisping, and tongue thrusting when talking.

Children who are thumb sucking may need treatment include:

-Those who have not stopped thumb sucking on their own by age 4-5.

Speech problems are becoming noticeable due to thumb sucking.

-Peer Pressure – If they are teased or feel embarrassed socially by their thumb sucking.

Tips For Breaking The Thumb Sucking Habit

Breaking a thumb sucking habit will not be easy. The longer your child does it the harder it is to break them of the thumb sucking habit. The following are some tips to help move the process along and break them of their thumb sucking habit.

Communication. Talk to your child about their thumb sucking habit. Explain how it can affect their teeth and kids might make fun of them. Ask how they feel and what you can do to help? Talk about alternative options when the thumb sucking urge comes on.

-Positive reinforcement. This works wonders with children especially of this age. Simple rewards like extra play time or a trip to the park can go a long way to helping break the thumb sucking habit.

Ignore The Issue. Some kids have a thumb sucking problem as an avenue for attention. I would not recommend this as a long term way of breaking thumb sucking habit but it is worth exploring.

-Offer Up An Alternative. Parents should give their child encouragement and offer to do a different activity when they feel the thumb sucking urge coming on. Could be something like squeezing a pillow or hugging their favorite toy.

Speak To Your Dentist. As an authority figure in your child;s life they may have more impact in this area. Your child may listen to them more intently. Your dentist will also offer dental treatment options. These can include:

-Behavioral Therapy.

-Special Nail Polish. This nail polish will be placed over thumb nail and have a foul taste for your child when they go into thumb sucking habit.

-Thumb sucking device that covers thumb. This will physically make it hard to get comfort when thumb sucking.

-Dental Habit Appliance. This is a custom made dental appliance that will make it impossible for your child to continue thumb sucking comfortably.

Thumb Sucking Conclusion

Breaking your child’s thumb sucking habit will take patience and persistence on both your parts. It is a very difficult habit to break especially the longer it is allowed to continue. If you need help call your dentist. Sometimes a group effort is what is needed. Also, be aware that putting too much pressure on yourself or your child can make matters worse. Best to take a calm, methodical approach.



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.



A dental overbite is when your upper front teeth overlap with your lower front teeth. Most patients have at least a small dental overbite. Orthodontic braces can fix many issues including a dental overbite. An overbite can have a negative impact on our cosmetic smile.

Causes Of A Dental Overbite?

The term occlusion is a dental term that refers to how our teeth align with each other. A dental overbite is a type of malocclusion (a deviation form normal occlusion). A malocclusion is a misalignment or incorrect relation between the teeth of the two dental arches when they approach each other as the jaws close. A dental overbite is when a patient’s upper teeth sticks out fart beyond the lower teeth. Dental overbites are usually a genetic trait passed on down from parents. It can also be caused by a behavioral habit leading to malformed jaw development. These can include thumb sucking, prolonged use of a pacifier, teeth grinding, tongue thrust issues, biting our nails, or chewing on objects. TMJ disorder can also cause a malocclusion as well as loss of teeth as the our teeth shift.

Dental Overbite Henderson NV Marielaina Perrone DDSDental malocclusions can fall into 1 of 3 categories:

Class One Malocclusion. This type of malocclusion indicates when a normal dental bite is with a slight overlap of the upper teeth. This is the most common malocclusion.

Class Two Malocclusion. This type of malocclusion is diagnosed when the dental overbite is severe. Another term for this is retrognathic.

Class Three Maloccluison. This is a severe dental underbite (when the lower teeth overlap the upper teeth). Another term for this is prognathic.

2 Types of Dental Overbites

-Vertical Overbite. This occurs when the top teeth significantly overlap the lower teeth.

-Horizontal Overbite. This happens when the top teeth protrude over the lower teeth.

Dental overbites can also be classified as either dental or skeletal. A dental overbite means that the teeth are the root cause of the dental overbite. A skeletal overbite identifies the jaw as the root cause of the dental overbite.

Treatments Of A Dental Overbite

Orthodontic braces are the #1 treatment for a dental overbite. A dental overbite can be diagnosed by a dentist or orthodontist. There is not an age limit on overbite treatment. It will just be easier on still growing children vs adults. It is usually very easy to see visually so parents can understand easily. In some cases, radiographs and dental impressions will be needed to fully assess the dental overbite. Orthodontic braces along with dental elastic bands . These bands along with orthodontic braces will slowly and methodically place forces on the jaw and teeth to bring things into a more cosmetic alignment thus eliminating the dental overbite.

In a severe dental overbite, removal of teeth (usually premolars) may be necessary or even dental surgery to re position the lower jaw.

A dental overbite can create issues in dental hygiene which can lead to an increased incidence of tooth decay and periodontal disease.

Possible Dental Overbite Treatment For Children and Young Adults

-Early removal of baby teeth. This will give permanent teeth extra room for eruption into the mouth.

-Growth modification appliance. This will be used during growth periods to help better position the jaw

-Orthodontic Braces. Use of braces will apply forces in a direct way slowly moving the teeth to correct the overbite along with the jaw.

-Orthodontic Retainers. These orthodontic devices are used following orthodontic treatment to help to keep the teeth in place after completion of treatment.

Possible Dental Overbite Treatment For Adults

– Orthodontic Braces. This allows movement of the teeth to correct a dental overbite.

-Teeth removal. Both dentists and orthodontists try to avoid removing permanent teeth but this will become necessary in very severe dental overbite cases. This is to allow the teeth more freedom to move.

-Dental Surgery. This may be needed for skeletal dental overbites that can only be corrected with surgery.

Untreated Dental Overbite?

If a dental overbite is left untreated there can be significant issues both dentally and for our health. The following are possible complications that can arise from not treating a dental overbite:

-TMJ Disorders including jaw pain.

-Increased risk of tooth decay and periodontal disease.

-Headaches.

-Pain upon eating and chewing.

Sleep Apnea.

Speech issues like lisps.

Dental Overbite Conclusion

Your dentist or orthodontist will be able to easily diagnose your dental overbite and offer you options to correct it. We all want a perfect smile but a dental overbite can cause other dental issues beyond cosmetics. Remember to see your dentist regularly for dental examinations and professional cleanings to keep your smile healthy and happy for a lifetime!