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

Halitosis is the medical term for chronic bad breath. Having halitosis is far different than having bad breath from eating too much garlic. Halitosis is a lingering bad breath and could be an indicator of something more serious going on with your health.

What Causes Halitosis?

What We Eat. What we consume at meals and snack time can definitely cause halitosis as mentioned previously. As we eat, the foods are absorbed into our blood stream and eventually out thru the lungs. These foods just need to be removed from the body for the halitosis to disappear. Brushing and flossing will only mask the odor for a short time before it returns. The most common foods of this type are:

Halitosis Marielaina Perrone DDS-Onions

-Garlic

-Cheese

-Pastrami

-Certain spices

-Orange juice or soda

-Alcohol

Many popular diets run into a problem with halitosis for these reasons. The large amounts of certain foods they choose to eat will linger in the body and cause chronic halitosis until they are removed.

-Xerostomia or Dry Mouth. Refers to a condition in which the salivary glands in your mouth do not produce enough saliva to keep your mouth wet. Our saliva acts as a helper to our dental health and this includes warding off halitosis as well. Our saliva has the ability to rinse our mouths when eating, help break down foods, and keep bacteria at bay to fight tooth decay. A lack of saliva would definitely lead to chronic halitosis. Saliva also enhances your ability to taste and makes it easier to chew and swallow. Dry mouth can be caused by many factors. These include:

Prescription And Over The Counter Medications. Countless medications produce dry mouth as a side effect. The most common dry mouth cuplrits include antihistamines, decongestants, and pain medications.

Medical Conditions. These include diabetes, stroke, yeast infection (also called thrush) in your mouth, Alzheimer’s disease, or autoimmune diseases (including AIDS/HIV).

Mouth Breathing And Snoring. These two acts while often inter related can also cause dry mouth.

Cancer Treatment. Chemotherapy drugs can alter your saliva and the amount your salivary glands produce. This could be a temporary situation, with normal salivary flow returning after cancer treatment is completed. Radiation treatments in the head and neck area can also lead to damage of salivary glands. This damage could cause a marked decrease in saliva production. This could be temporary or permanent.

Tobacco And Alcohol Use. Both are known to increase dry mouth symptoms.

Excessive Caffeine Consumption. Another known cause of dry mouth.

-Mouth, Nose and Throat Infections. Postnasal drip, due to head and neck infections may also contribute to bad breath. Bacteria feeds on mucus your body produces when it is battling something like a sinus infection.

Dental Health IssuesTooth decay and periodontal disease can lead to long term chronic halitosis if left untreated. The bacteria in the mouth will be out of control and difficult to bring under control unless seen by a dentist.

Preventing Halitosis

The following are simple dental health tips to ward off halitosis:

Watch What You Eat And Drink. Avoid foods and drinks that are known to cause bad breath. Choose more fruits and vegetables and drink more water to stay hydrated.

Choose Sugar Free Mints And Gum. Both of these will stimulate salivary production to help cleanse the mouth and help ward off tooth decay. They will also give you a temporary fresh smelling breath.

Avoid Tobacco Products.

Floss Daily. It is recommended to floss after every meal but 1x per day should keep breath smelling fresh.

Brush after every meal. Use an ADA approved fluoride toothpaste and brush at minimum 2x per day.

Use An Antiseptic Mouthwash. Listerine is a good example.

Be extra vigilant if you have orthodontic braces. Food and plaque can build up around brackets very easily.

What Is Halitosis? Conclusion

Halitosis is an embarassing problem to have but it can also be a sign that something more serious is happening in your body. If you have persistent halitosis, you should see your dentist and rule out the obvious causes. Your dentist will be able to diagnose the issue and get you back on track to fresher breath. With a professional cleaning and dental examination, your dentist can help rule out any dental health problems and educate you on at home dental hygiene. This will include what types of dental products to use or refer you to a physician for follow up.



Tooth sensitivity is generally the result of worn tooth enamel or exposed tooth roots due to gingival recession. Other causes of tooth sensitivity include tooth decay, a cracked or chipped tooth, a worn filling, or periodontal disease. Tooth sensitivity is a very common problem affecting more than 1 in 8 Americans. For some they are aware and neglecting the problem and for others they think it is normal and try to mask it by avoiding those teeth when it comes to certain food items. When tooth sensitivity is present it becomes difficult at times to enjoy our favorite food and drink or even brush our teeth properly.

What Causes Tooth Sensitivity?

The pain or discomfort you feel when a tooth is exposed to hot or cold temperatures or even an acidic food or drink. This is the hallmark sign of tooth sensitivity. There are 3 layers of a tooth. These are called enamel, dentin, and pulp. The enamel is the harder outer shell that covers your teeth. Tooth enamel is considered the hardest mineral substance in the body. Even stronger than bone. There is one other piece to the puzzle and that is cementum. Cementum covers and protects the root surface where the enamel does not cover. When something happens to the enamel or cementum you end up with tooth sensitivity. The enamel could be damaged thru tooth decay or trauma while the cementum can be lost due to periodontal disease.

Worn Down Enamel. Enamel can be damaged in a variety of ways. These can include overly aggressive brushing, tooth trauma, tooth enamel erosion from acidic drinks, and even teeth whitening products if not used as directed. In areas where the enamel breaks down it will expose the soft underlayer, the dentin. The dentin has tubules that connect to the inner layer the pulp. The pulp is where all the nerves and blood is. This will cause you tooth sensitivity to begin to develop.

Periodontal Disease. This is a progressive disease that triggers an inflammatory response in the mouth. If left untreated it can progress from gingivitis (reversible) to periodontitis (non reversible). Periodontitis will lead to destruction of cementum, gingival tissues, and bone surrounding your teeth. Once the roots of your teeth are exposed, you will develop tooth sensitivity.

Bruxism. Also referred to as teeth grinding. When we grind our teeth we put extreme forces on our teeth. This force can lead to cracks in the enamel on your teeth. Once those cracks form, it exposes the soft dentin beneath leading to tooth sensitivity.

Tips If You Have Tooth Sensitivity

-Softer Toothbrushing. Brushing technique should include use of a soft-bristled brush and use at a 45 degree angle to your gum. this will help prevent damage to your enamel and gum tissues.

-NO! acidic foods and drinks. These will only cause you pain and discomfort if you already suffer from tooth sensitivity. But if you do choose to consume these wait about 30 minutes after bruhing to give you a chance not to feel so much pain or discomfort.

-Slow Down On Teeth Whitening. Teeth whitening can cause temporary tooth sensitivity. If you do develop tooth sensitivity while undergoing teeth whitening treatment speak to your dentist immediately.

How Is Tooth Sensitivity Treated?

Dentistry is highly personalized care. Tooth sensitivity is no different. The treatment for tooth sensitivity will depend on the cause. A proper diagnosis is necessary to develop a proper treatment plan for your tooth sensitivity. Tooth sensitivity treatment can include:

-Use Of Desensitizing Toothpaste. A common over the counter toothpaste is called Sensodyne. This toothpaste acts to seal those tubules present in the dentin. By sealing those tubules, it will remove or diminish the tooth sensitivity you may be feeling. Sensodyne contains, calcium, phosphate, as well as fluoride.

-Fluroide Treatment. This can be done at home or in office. In office, the fluoride will be applied using a tray and applied to your teeth giving adequate coverage. There are also take prescription home rinses that can be used by the patient as needed.

-Custom Fabricated Mouth Guards. This would be used to ward off damage from teeth grinding that can cause tooth sensitivity.

-Restore Broken, Chipped, or Fractured teeth. This can include dental bonding or dental crowns to restore your teeth to a healthier state and prevent tooth sensitivity.

-Periodontal Disease Treatment. This can include bone grafting as well as gum grafts to cover the root surfaces of your teeth that have been exposed.

Root Canal Therapy (RCT). In some cases tooth sensitivity is caused by a dental infection present inside a tooth.

What Causes Tooth Sensitivity? Conclusion

Now you know the causes of tooth sensitivity it is important to address these issues if you have them with your dentist. Be proactive and treat tooth sensitivity before it gets out of control.

Dry socket (also called medically as alveolar osteitis) is a very painful dental condition that can sometimes happen following removal of a permanent adult tooth. Dry socket occurs when the blood clot at the area of tooth removal fails to develop, or it dislodges or dissolves before the wound has fully healed. Having a tooth removed by your dentist comes with certain expectations. This includes discomfort following the tooth removal. However, this discomfort should last a day or 2 at the most and be fairly mild. Dry socket pain can become very intense quickly and last for almost a week in some cases. Dry socket is actually the most common complication of a tooth extraction. Even with that fact it still only occurs a little less than 2% of the time (about 200,000 cases in US each year) and most often following removal of wisdom teeth. It is also prevalent in those with poor blood flow, smokers, and diabetics. Dry socket generally occurs 2-3 days following tooth removal procedure.

When a tooth is removed, a blood clot forms to protect the opening in your gums as it heals. If the blood clot does not form properly or becomes dislodged, it can create a dry socket. A dry socket leaves the nerves and underlying bones exposed, so it is important to see your dentist immediately. If left untreated, this can lead to dental infection and other complications. Dry socket most often occurs in those  who smoke, are on oral contraceptives (estrogen can interfere with clotting mechanisms), or do not follow post care instructions properly.  Interesting for women, the oral contraceptives also tend to lower pain tolerance which will lead to increased pain sensation if dry socket occurs.

What Is A Dry Socket? Symptoms

Dry Socket Las Vegas Marielaina Perrone DDSSigns and symptoms of dry socket may include:

-Sharp, aching pain usually starting 2-3 days after removal of a tooth or teeth

-Blood Clot Missing. If you peek into your mouth you would see an opening where tooth was and if there is no blood clot present then you probably have a dry socket. In a normal situation a blood clot forms and covers the exposed opening.

-Visible Bone Present. Bone that can be seen upon visual examination in the socket.

-Radiating Pain. Radiating from the tooth socket to your ear, eye, temple or neck on the same side of your face as the tooth removal.

-Abnormally bad breath or a foul odor emanating from your mouth. This will include having a bad taste in your mouth as well.

-Swollen Lymph Nodes. If you have swollen lymph nodes around your jaw or neck, this is a sign of dental infection and you need to be seen by your dentist immediately as this can be a serious medical emergency if untreated. Signs of a dental infection can include fever, swelling, redness, and pus discharge from extraction site.

-Over The Counter Pain Medications Do Not Work. Generally, tylenol, aleve and advil will not be strong enough of a pain reliever to be able to control dry socket pain.

How Can A Dry Socket Be Treated?

Your dentist will relieve the area of pain using a local anesthetic. If the infection has spread this may not relieve all pain and discomfort at this time but it will help. Your dentist will need to inspect the tooth removal site and clean it of any debris or food particles. Once the area is cleaned sufficiently, your dentist will probably place a medicated dressing over the area to promote healing and soothe the dry socket symptoms. These medicated dressings usually need to be changed daily until dry socket symptoms subside. Use of a warm cloth on outside of face can also aid in healing by promoting increased blood flow to the area. If there is infection present or your dentist suspects one is forming an antibiotic may be prescribed. You will also be given detailed instructions on at home care. Usually includes rinsing with warm, salt water and just being careful with area while it heals. Healing of a dry socket at this point will take between 1 and 2 weeks.

Possible Home Help Remedies For Dry Socket

Home remedies to help with dry socket pain can include:
-Rinsing with Warm salt water. Rinsing can help eliminate bacteria and reduce or prevent further infection.
-Cold and heat therapy. This can promote blood flow to area of dry socket. For the first 24 hours or so following a tooth extraction, use cold against your face for 15 minutes at a time to reduce swelling. After 1st day you can use heat in the form of warm cloth to help manage pain.
-Clove oil. This contains eugenol (this is traditional dental office smell), which has anesthetic, anti-inflammatory, and antibacterial properties. It can help to soothe pain and help prevent infections. Some people have reactions to clove oil so speak to your dentist before using. You can place clove oil on a sterile gauze and place it over dry socket area for 15 minutes or so to help relieve dry socket symptoms.
-Honey. Honey has anti-inflammatory and analgesic properties. Clinical studies have found that honey when used for dry socket applications resulted in a significant reduction in inflammation, swelling, pain, and discomfort. There was also evidence honey possibly prevents further dental infection. Honey can be applied similar to the clove oil. Place a small amount of honey on a sterile gauze and place over dry socket wound.
-Black tea. Contains tannic acid. Tannic acid can act as a natural antibacterial agent while also having the ability to reduce both swelling and pain.
-Tea tree oil. Also has antiseptic, antibacterial, and analgesic properties.
-Oregano oil.  Has antibacterial benefits and studies have shown it may even be effective against some drug-resistant strains of bacteria.
-Chamomile tea. Chamomile has anti oxidant properties. This can promote wound healing.

What Is A Dry Socket? Conclusion

It is important to follow your dentist’s instructions especially following a tooth removal. Communicate concerns and questions immediately so they can be addressed immediately to avoid unforeseen complications. A dry socket can be quite painful and can have serious consequences if ignored. See your dentist regularly to maintain a healthy smile for a lifetime.



Maintaining cleaner teeth at home can be a real challenge for many. A diligent dental hygiene program is necessary to maintain cleaner teeth at home between dental visits. So what steps are necessary to maintain cleaner teeth at home? Below you will find some helpful tips to maintain cleaner teeth at home and make each dental visit easier. Your dental visit will be quicker and less stressful knowing you are doing your best at home for cleaner teeth.

Top Tips For Cleaner Teeth At Home

Brush With Proper Technique. The brushing technique used is just as important as the frequency of brushing to maintain cleaner teeth at home. If you are doing a weak job with technique it is almost as bad as not brushing your teeth at all. An important step for cleaner teeth at home.

Cleaner Teeth At Home Las Vegas Marielaina Perrone DDSProper Tooth Brushing Technique For Cleaner Teeth At Home Should Include:

Toothbrush should be angled at a 45 degree angle to your teeth and gum tissues.

-Brushing should be done with a gentle circular motion encompassing each individual tooth.

-Do not forget to brush all surfaces of your teeth. This includes the inside (also called lingual side), the outside (also called the Buccal side) and the tops of teeth (also called occlusal side).

-Tilt tooth brush vertically to reach the inside of your front teeth. Many people neglect this area and it is just as important as the back teeth.

-To clean the inside surfaces of the front teeth, tilt the brush vertically and make several up-and-down strokes.

Plaque that is not removed will harden over time, leading to calculus buildup and possible development of tooth decay and periodontal disease. Cleaner teeth at home should start with proper brushing.

Brush Your TongueThis is important for fresh breath as well. Plaque and bacteria can build up in the crevices of your tongue. The easy solution is to gently brush your tongue every time you brush your teeth. You can use your tooth brush or buy a separate tongue cleaner at the drug store. Ask your dentist how cleaning your tongue can lead to cleaner teeth at home.

-Bedtime Brushing. In an ideal world, we would brush after every meal and then again before bedtime. But for many of us this is not possible. Brushing at bedtime can be very important because generally we have more time to devote to doing it properly vs maybe in the rush of our mornings. Bedtime brushing will help remove build up of food and plaque that occurs throughout our day. Bedtime brushing will lead to cleaner teeth at home because your dental hygiene will be maintained thru the night.

-Choose A Fluoride Toothpaste. Fluoride is a staple of good dental hygiene. It helps defend against tooth decay by strengthening the outer layer (enamel) of our teeth giving us a protective barrier against bacteria. There have been reports of fluoride being harmful to our overall health but rest assured it is safe and effective in toothpaste for brushing to keep cleaner teeth at home.

-Incorporate Flossing Into Dental Hygiene Regimen. Less than 30% of all people floss daily. That is a very low number for an extremely beneficial part of dental hygiene. It is recommended to floss after every meal or at least once per day to get flossing benefits. Flossing will help stimulate periodontal tissues, show a reduction in plaque, and lower inflammation of gum tissues.

Proper Flossing Technique

Use index fingers to guide dental floss between the contacts of your teeth. “Gently” guide floss between the teeth by using a zig-zagging motion. Gently wrap the floss around the side of the tooth. Slide floss up and down against the tooth surface and under the gum line gently. Flossing too hard can cause trauma to tissues.

 -Use An Anti Bacterial MouthwashA good mouthwash like Listerine can help in many ways. They can act to reduce the amount of plaque in the mouth, act as an acid reducer, and destroy harmful bacteria growth in the mouth. It is important to ask your dentist for a recommendation as some are good for kids while others are good for sensitive teeth. A good mouth wash can lead to a cleaner mouth at home between dental visits.

-Stay Hydrated With Water. It is recommended to rinse your mouth with water after every meal. This will help remove food from the mouth but also lower the pH level in the mouth. Some foods can be very acidic. An acidic environment is ideal for development of tooth decay. Drinking water will lead to cleaner teeth at home by rinsing your mouth but also by limiting tooth decay development.

-No Tobacco Or SmokingTobacco and smoking has many negatives for our health but it also will cause staining of our teeth. Avoid smoking for cleaner teeth at home between dental visits.

-Limit Sugars. This is not only important for dental health but also for overall health. This has been proven time and again by scientific studies. Limiting sugars will also limit chance of tooth decay. The World Health Organization Guideline on intake of sugar for Adults and Children recommended to limit free sugars to no more than 5% energy intake to protect dental health over a lifetime. Cleaner teeth at home has a definite nutrition component.

Cleaner Teeth At Home Conclusion

Cleaner teeth at home is the foundation of a good dental hygiene program. This will also include regular dental visits for examinations and professional cleanings. Cleaner teeth at home will lead to a happier, healthier smile for a lifetime.