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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.

 




Dentist Vs Orthodontist – Which To Choose?

There are many misconceptions between dental specialties as the lines become blurred. Many services that were only done by specialists are now routine in a family dental office. These procedure include dental implants, root canal therapy, and orthodontics. A family dentist vs orthodontist begin with same basic training in dental school and then the paths diverge following graduation from dental school. Read below for further clarification on dentist vs orthodontist.

Dentist Vs Orthodontist Education And Training

Following 4 years of dental school, a dentist has multiple paths to go forward into their future career. They can enter private practice or they can complete a dental residency for advanced training or they can go on to further schooling to specialize in a particular specialty branch of dentistry. These specialties can include oral surgery, periodontics, or orthodontics.

Those who choose to specialize will apply to graduate programs in the field of their choice. Between 6 and 8% of all dental school graduates go on to become orthodontists. Orthodontic training continues from the basics learned in dental school and narrows the focus to a branch of dentistry dealing with irregularities of the teeth (such as malocclusion) and their correction (as by braces). That definition comes directly from Merriam Webster. Both are extremely important to ensure your mouth functions properly when eating and chewing. If your teeth are crooked or your jaws are misaligned this can cause digestive problems  and dental hygiene issues, such as gingivitis (gum disease). It can also make it difficult to clean your teeth properly.The extended training takes between 2-3 years and adds about 5,000 hours of orthodontic training. Orthodontists have many techniques and dental materials at their disposal Marielaina Perrone DDS Dentist Vs Orthodontist Las Vegas NVto help them move the teeth and jaws into proper alignment, including traditional braces, lingual braces (attached on inside of teeth) and clear aligners (like Invisalign), among other orthodontic appliances. Because every patient has their own unique alignment issues, orthodontists use X-rays and pictures of the teeth to create personalized treatment plans. These plans can be simple to very extensive depending on the issues with your smile.

Family dentists treat patients’ overall oral and dental health. Through routine checkups, dentists can detect and treat cavities, periodontal disease, and oral hygiene problems, and they can also extract teeth as necessary. Dentists also can improve the function and cosmetic appearance of teeth with the following services: tooth bonding, porcelain or composite veneers or dental crowns to teeth that are broken, chipped, misshapen or have been affected severely by tooth decay. Your dentist will also evaluate the tissues inside your mouth for signs of oral diseases (such as oral cancer) and gives advice on how to maintain your oral health. If your dentist notices a problem beyond the scope of their education, they will refer you to a dental specialist or physician as they see fit. An orthodontist is one of those specialists your dentist may refer you to for further treatment.

Choosing Between Dentist Vs Orthodontist

When choosing dentist vs orthodontist there will be some overlap between dental services offered. Many family dentists will also offer some orthodontic services to their patients. Orthodontists are only able to offer services that fall under their specialty. A dentist can perform orthodontics but an orthodontist cannot treat periodontal disease or fabricate a dental crown. This is a major difference in the dentist vs orthodontist debate.

Dentist Vs Orthodontist Treatments Offered

Family dentist services can include but not limited to the following:

-Treatment and Restoration of Tooth decay

-Root Canal Therapy

-Treatment of Periodontal Disease

-Dental Crowns and Dental Bridges

-Porcelain and Composite Veneers

Teeth Whitening

Dental Implants (placement and restoration)

-Basic Orthodontics

Orthodontists provide services related to:

-Misaligned Teeth

-Crowded Teeth

-Overbite

-Underbite

Dentist Vs Orthodontist Conclusion

A dentist should be your go to for all your dental needs. An orthodontist will be necessary when your dentist decides treatment behind their scope is needed. An orthodontist is someone you will see for a fairly short time while a dentist will be someone you will see for a lifetime to maintain healthy teeth and gum tissues. The dentist vs orthodontist question is not a battle but a partnership. They work hand in hand to deliver high quality dental care to their patients.

 





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!”,



Cosmetic surgery is a very popular specialty of medicine that has been growing steadily for decades. Youth is associated with vitality and beauty. For many of us, aging is not an easy thing to do and we seek out help to keep us looking and feeling younger and more vibrant. When seeking out cosmetic surgery, many often overlook the role our teeth play in our appearance. As we age, our teeth become darker, get worn down, and may even change alignment. This can create not only cosmetic issues but functional ones as well. These functional issues can lead to Temperomandibular Joint (TMJ) issues, headaches, and muscle pain.

How Can My Dentist Make Me Look Younger?

As our teeth wear down over our lifetimes, it can result in a shorter looking face, longer looking teeth, and stained teeth. The resulting appearance may make some of us look like we are aging prematurely. The breakdown can be caused by tooth erosion (high acid wear), attrition (flattening and fracturing due to grinding, clenching, and other oral habits), and abrasion (overly aggresive brushing), recession (loss of gum tissue making teeth appear longer) . The length and shape of our faces and teeth, as well as the position of the jaw are determined by the teeth, skeletal bones, and a person's bite. So, when a person's teeth wear down it will give the appearance of a shorter face. Discomfort and pain are also often associated with wearing down of teeth and gums, as they become more sensitive, prone to increased fractures, and to development of TMJ and headache pain.

Your dentist can give you the ability to change all of this, allowing the patient to look more youthful while correcting dental issues.  The patients oral hygiene must be good and the mouth should be in a healthy state before any work can be completed.  This should include control of periodontal disease, removal of any loose teeth, addressing gum loss issues, ascertaining desired whiteness, and correcting dangerous oral habits, .  Great care must be taken while returning someone to their proper tooth height (vertical dimension) as it can create even more TMJ and headache issues if not done properly.

Some of the procedures involved in making you look younger include:

-Porcelain Crowns. This type of crown will give the cosmetic appearance most patients are longing for but also give the strength and stability to open one's bite .  One type of strong porcelain which is used where teeth grinding has been a problem is a Bruxzir crown. When utilized properly, a patient will begin to see an immediate improvement in their bite and in the cosmetic appearance in the skin around the face as wrinkles will lessen.

-Porcelain Veneers. A staple of cosmetic dentistry but used in conjunction with porcelain crowns to lengthen and restore the length of front teeth. Porcelain veneers are less invasive and more conservative than porcelain crowns. For teeth that do not require a full coverage crown, porcelain veneers can adequately lengthen and reshape, and change the color of your smile.

-Orthodontics. Limited or full orthodontics may be necessary to remove any bite issues that can cause undue stress or trauma to the teeth before new restorations are placed.

-Dental Bonding. Used to restore any teeth that have been damaged by tooth decay, staining or slight wear. Dental bonding is a cosmetically pleasing option that will look very natural when completed.

-Facial Asymmetry – In many of us, the muscles of the face may be asymmetrical leading to an imbalanced look to the face. Botox can restore that symmetry by balancing the facial muscles. Eyebrow lift, or depression of the brow can be enhanced with properly placed botox.

-Gummy Smile – This is shown as a smile that shows too much gum tissue. 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 seem better-balanced.

-Crown Lengthening. A surgical process to expose more tooth structure so that there is enough room to properly place a crown. This is often necessary in severe grinding cases.

-Gum 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 work with, 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.

Conclusion

Cosmetic dentistry will change not only how your teeth function but how you feel about yourself. Many dentists often overlook the relationship between our teeth and our bite. If the bite is not in alignment, your teeth and face will never look and feel their best.