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



Dentistry is about more than just checking your teeth. Most dentists have extensive training, education, and knowledge of systemic and oral diseases, and the symptoms to be on the lookout for.  A good dentist will know how to diagnose these conditions, refer you to specialists, and sometimes prevent them from progressing. All of this adds up to comprehensive dental healthcare for you and your family.

Conditions Associated With Oral Medicine

Oral Cancer – Can be diagnosed in early stages by your dentist. If oral cancer is not diagnosed early, it can be life threatening. About 40,000 new oral cancer cases are diagnosed each year in the United States alone. Overall survival rate at the 5 year mark is just 42%. However, if diagnosed early, the survival rate significantly improves to just over 90%.

Routine dental examinations include a full head and neck examination. This allows the dentist to monitor for any changes in the tissue. Also, many dentists use a VELscope for early oral cancer detection. The VELscope is a special light that allows the dentist to see changes in the tissue before the naked eye can see them. This improves chances of early diagnosis via biopsy and thus, higher chance of survival.

If oral cancer diagnosis is confirmed, the patient needs to be monitored during cancer treatment to ensure there is minimal detrimental effect to the teeth and oral tissues. Chemotherapy tends to create oral issues like xerostomia (increases chance of fungal infections of the mouth), mucositis (very painful mouth irritations), tooth decay(due to dry mouth), radiation necrosis (bone death), and periodontal disease. This is why it is recommended that care is coordinated between the oncologist, physician, and dentist.

Following treatment, it is imperative to get routine oral cancer screenings as the chance of oral cancer recurring is quite high.

Temperomandibular Joint Disorder (TMD) – TMD issues can be extremely painful and uncomfortable. As TMD progresses it creates an imbalance in the facial muscles and bone structure leading to issues with simple facial movements and even chewing. Once it gets to this point, the issues get worse as the pain just increases as well as the imbalance. These patients will be at increased risk for tooth decay and periodontal disease since they will be unable to properly perform routine oral hygiene maintenance.

Treatment for TMD ranges from medications and steroids to manage the discomfort and pain to surgical options. Surgery is always the last resort as the surgery does not always pose the answer patients are looking for. Botox is a newer treatment used to freeze the muscles and attempting to restore facial muscular harmonies before the situation gets worse.

Anemia– Patients who are anemic tend to lose papilla on the tongue, giving it a bald appearance, also, fissures of the tongue increase in depth. Anemics also tend to crave ace, and brgin to chew on ice. This is a habit that can easily cause tooth fractures.

Herpes Simplx Viruses (HSV)  – This virus is responsible for cold sores (HSV-1) and genital herpes (HSV-2). Studies have shown that almost 70% of all Americans have been exposed to the herpes simplex virus. Luckily, even if exposed they do not always show symptoms of the virus. Those that do will show the classic mouth sores around the lips. These sores or blisters can be quite uncomfortable and embarassing.

Herpes Simplex virus generally does not affect our oral health unless they are so uncomfortable that we are unable to maintain proper oral hygiene. Treatments for cold sores include changes in diet, increase intake of certain vitamins like E and Zinc, as well as pharmaceutical options. Pharmaceutical options include Xerese and Viroxyn. Both have been shown to be effective in limiting symptoms of outbreaks.

Canker Sores (also called apthous ulcers) – Often confused with cold sores, they are very different. Most canker sores are single, isolated oral lesions usually caused by stress or trauma to oral tissues. Canker sores can occur a few times per year but are not known to be contagious. It is believed that canker sores have a genetic component to them but studies have not confirmed this to date.

It should be noted that canker sores can also be the sign of something more ominous and should be ruled out. General rule of thumb, is if they go away in under 7-10 days, only appear a few times per year, and are small there should be nothing to worry about. However, if they are large, last longer than 7-10 days and occur much more frequently, the patient should be investigated further for the presence of a systemic disorder. These disorders could include anemia, autoimmune disorders, or even inflammatory bowel disease. Sometimes the answer can be as easy as changing your toothpaste to a brand that is SLS (sodium laryl sulfate) free.

Treatment for canker sores include cauterization of sore (to facilitate faster healing), use of topical corticosteroid, or application of Debacterol. Most people will just allow the lesion to heal on its own. If the sore are SLS related, then changing toothpaste to a non-bubbling, SLS-free brand can bring instant relief.

Autoimmune diseases– Many different autoimmune diseases cause issue in the mouth, or face, and jaw joint. Oral fungal infections, arthritic TMJ, oral tissue sloughing and blistering, facial rashes, bone growth, and other symptoms can give your dentist reason to refer you to an immunologist for a thorough workup.

Oral Medicine Conclusion

The bottom line is a well educated and trained dentist is capable of diagnosing more than just tooth decay. Your oral health is inherently linked with your general health. Understanding the importance of regular dental care for you and your family will allow you to get a jump on many diseases that might develop. Early diagnosis is the key to treating many conditions and diseases.



Angular Chelitis – is inflammation of one, or more commonly both, of the corners of the mouth. The inflammation is caused by yeast development in the area. The condition may show itself as deep cracks or splits in the lips, and the inflamed area may extend onto the skin of the face. In severe cases, the splits can bleed when the mouth is opened and shallow ulcers or a crust may form. It is a fungal disease, which is difficult to treat long term, and commonly recurs.

Angular chelitis has long been a curious disorder to treat. It is difficult to know the cause of the angular chelitis from individual to individual. The usual culprits include poor diet and nutrition (specifically Zinc or Vitamin B2 deficiencies) and certain medications. Angular chelitis can also be caused by the loss of vertical dimension of the teeth. Vertical dimension refers to the height of our teeth, which over time becomes less and less as our teeth wear or our dentures break down. This in combination with the aging process can lead to loose flabby skin at the corners of the mouth. These folds cause a warm, moist, dark environment in which, yeast flourishes.

Solutions For Angular Chelitis

There have been many home remedies tried in treating angular chelitis. These include vitamin regimens, tea tree oils, fish oil, and even a combination of grapefruit and vodka. None of these angular chelitis treatments work. The best approach is to eliminate the source of the issue. Dentists have long known that the loss in vertical dimension coupled with the flabby skin at the sides of the mouth are the triggers in most cases of angular chelitis. Angular Chelitis treatments include:

-Topical Antibiotic/Antifungal Treatment – monostat topical cream is a very effective solution. It needs to be applied externally only, and throughout the day for 2-3 weeks. In many cases this is a temporary solution at best as the root cause of the problem, the mouth folds in the corners, has not been solved. As the patient loses more tooth height, the folds of skin will increase in depth causing the angular chelitis to become harder and harder to treat.

-Increase Vertical Dimension – Once the yeast has been treated and eliminated, the only way to keep it from returning is to address the corner folds. This can be done in a variety of ways but the goal is to open the bite, or increase tooth height, to remove or lessen the presence of the folds around  the mouth. This can be achieved through the fabrication of a new denture (for denture wearers) or through the use of crowns to modify the bite.

-Use of Dermal Fillers – Luckily, we have a third option which many prefer. It includes the use of dermal fillers (such as Restylane and Juvederm) to replace lost volume in the tissues of the lower face. These dermal fillers are generally used in combination with Botox to relax the muscles and subsequently smooth out the wrinkles surrounding the mouth.

Angular Chelitis Conclusion

Angular chelitis can be a long term problem if not treated correctly. It can become quite uncomfortable and unsightly. Some may only be able to utilize the topical antifungal treatment, while others may be able to remove the problem permanently by increasing dental height with the aforementioned dental treatments. Fortunately, we have options at our disposal to treat this condition. You no longer need to be frustrated or embarrassed by this infection. See your dentist to see which treatment is best for you!



Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals.

Fibromyalgia can be a debilitating disorder. It that can strike at any time for those affected by it. The cause of fibromyalgia is unknown at this time but it is believed to involve psychological, genetic, neurological, and environmental factors. Fibromyalgia tends to affect women at a greater rate than men (about 9 women for every 1 man affected). It is believed fibromyalgia affects between 3-4% of the population. It has also been associated with rheumatoid arthritis, lupus, and as a side effect of anticholesterol medications.

Fibromyalgia Symptoms

-Pain. The pain is frequently described as a constant dull ache, typically beginning in the muscles. On top of the pain that is felt there are areas of the body called tender poitns. When pressure is applied to any of these tender points, fibromyalgia patients will experience even more pain. There are about 9 different tender points on the body and include the back of the head, the upper chest, between the shoulder blades, and the inside of the knees.

-Fatigue. People suffering from fibromyalgia often wake up tired. Even after reporting sleeping for hours at a time.

-Sleep Disturbances. sleep is often disrupted by the pain from fibromyalgia. To make matters worse these patients also have other sleep disorders that include restless legs syndrome and sleep apnea.

-Cognitive Dysfunction. Also referred to as “fibrofog”. This can include problems with short and long term memories, impaired speech, inability to multi task, and short attention spans.

-Joint stiffness, may include TMJ.

-More difficult to numb with dental anesthesia.

Some of the other symptoms can include difficulty upon swallowing, irritable bowel syndrome, as well as numbness and tingling. Fibromyalgia is typically found alongside depression and anxiety, which may be due to difficulty in coping with the condition. The symptoms tend to build upon themselves making patients even more sensitive at each attack.

Causes Of Fibromyalgia

At this time, it is unknown for sure what causes fibromyalgia. It is believed that many factors work together to cause the disorder to occur. These factors include:

Genetics – It has been learned through research that fibromyalgia tends to run in families. So it is believed that certain genetic mutations may play a role in developing fibromyalgia. These same genetic mutations have also been linked with other syndromes of unknown origin as well as depression. It is believed the pain that is caused by fibromyalgia is the result of abnormal pain processing by the brain. Researchers have shown that there are functional and structural differences between fibromyalgia patients and healthy individuals. It is unknown however if these abnormalities are the cause.

There have also been studies done in Sweden regarding twins and they found that:

Identical twins with fibromyalgia have a 15% chance that their twin has fibromyalgia.

Fraternal twins with fibromyalgia have a 7% chance that their twin has fibromyalgia.

Infections/Illness – Some ilnesses appear to trigger or aggravate fibromyalgia.

Lifestyle. Poor lifestyle choices including being a smoker, obesity and lack of exercise may increase the risk of an individual developing fibromyalgia.

Trauma. This can be physical or even emotional. Post traumatic stress disorder (PTSD) has been linked in recent years to fibromyalgia.

How Is Fibromyalgia Diagnosed?

Unfortunately, there is not a single test to confirm fibromyalgia. Patients are generally diagnosed when all other known diseases or syndromes are ruled out. It is called differential diagnosis when used in medicine. Fibromyalgia is believed to be  under-diagnosed with only about 25 percent of the actual cases being diagnosed properly.

The most widely accepted set of classification criteria for research purposes was elaborated in 1990 by the Multicenter Criteria Committee of the American College of Rheumatology. These criteria, which are known informally as “the ACR 1990”, define fibromyalgia according to the presence of the following criteria:

-A history of widespread pain lasting more than three months—affecting all four quadrants of the body, i.e., both sides, and above and below the waist.

-Tender points—there are 18 designated possible tender points (although a person with the disorder may feel pain in other areas as well). Diagnosis is no longer based on the number of tender points.

How Is Fibromyalgia Managed?

Treatment is varied by individual. Each individual will present with different symptoms. So what type of therapy is available?

Psychological therapies

There have been benefits to behavioral therapies (cognitive behavioral therapy (CBT) ) coupled with exercise to have a small to moderate effect in reducing the symptoms of fibromyalgia.

Medications

-Analgesics. Acetaminophen (Tylenol) may ease the pain and stiffness associated with fibromyalgia. However, the effectiveness of acetaminophen has varied from patient to patient. Tramadol (Ultram) is a prescription pain reliever that may be taken with or without acetaminophen. Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs) (such as ibuprofen (Advil, Motrin) or naproxen sodium (Aleve) — in conjunction with other medications.

-Antidepressants. Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia. Your doctor may prescribe amitriptyline or fluoxetine (Prozac) to help promote sleep.

-Anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (Neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (Lyrica) was the first drug approved by the Food and Drug Administration to treat fibromyalgia.

Lifestyle Changes

Lifestyle changes are critical to managing the onset and symptoms of fibromyalgia. Some of the changes that can help include:

-Reduce stress in your life. Allow yourself time each day to relax. People who quit work or drop all activity tend to do worse than those who remain active. Stress Management techniques like meditation or deep breathing can really help in this area.

-Get Adequate sleep. Because fatigue is one of the main characteristics of fibromyalgia, getting sufficient sleep is mandatory. In addition to getting enough time for sleep, practice good sleep habits, such as going to bed and getting up at the same time each day and limiting daytime napping.

-Regular Exercise. Initially, exercise may actually increase your pain. But doing it gradually and regularly often decreases symptoms. Appropriate exercises may include walking, swimming, biking and water aerobics. A physical therapist can help you develop a home exercise program. Stretching, good posture and relaxation exercises also are helpful.

Check medications. Some meds have fibromyalgia side effects. Anticholesterol medications are a major culprit of  fibromyalgia symptoms. Try changing your diet to a healthier one incorporating mild exercise, and try to decrease your cholesterol level naturally.

-Pace yourself. Keep your activity on an even level. If you do too much on your good days, you may have more bad days. Moderation means not “overdoing it” on your good days, but likewise it means not self-limiting or doing “too little” on the days when symptoms flare.

-Choose to make healthy nutritional choices. Choose a well balanced diet and limit your caffeine intake to the absolute minimum.

Alternative Medicine Choices

-Acupuncture. While many do not believe in acupuncture, it has been helpful for many ailments over the years.  It is believed the acupuncture needles cause changes in blood flow and levels of neurotransmitters in the brain and spinal cord. Studies have shown improvements in fibromyalgia symptoms following acupuncture treatment.

-Massage therapy. Massage can reduce your heart rate, relax your muscles, improve range of motion in your joints and increase production of your body’s natural painkillers. It often helps relieve stress and anxiety.

-Yoga and tai chi. These practices combine meditation, slow movements, deep breathing and relaxation. Both have been found to be helpful in controlling fibromyalgia symptoms.

Fibromyalgia Conclusion

Fibromyalgia is a disease that affects not only the sufferer but also those around him or her. It is an often misunderstood disease that can create frustration. Understanding and managing the symptoms is the goal. Proper choices and therapy can  allow fibromyalgia patients to live normal productive lives.



Modern dentistry has evolved from the days of just a simple nightguard for grinders. A well trained dentist can treat a number of issues that were not even considered even 15 years ago. Bite appliances can be utilized in treatment of, the combination of clenching and bruxing, obstructive sleep apnea, TMJ pain, and sports mouthguards. These appliances allow patients to live more comfortable, healthier lives while enjoying the activites they love.

Teeth Clenching and Teeth Grinding (Bruxism)

These are fairly common issues for many Americans. Studies have been unable to pinpoint the exact number of people in the population that grind or clench but it is believed, that most people at some point in their life will experience this habit. This is sometimes considered to be a stress related habit. Most patients with these habits, do so while sleeping, so they are unaware of the forces exerted on their teeth while they sleep. Teeth clenching and grinding can cause a number of dental issues that include:

-Loose Teeth.

-Temperature Sensitivity.

-Tooth Chipping and Fracturing.

-Flattened teeth.

Bite Appliances are used to protect the teeth and also to re-train us to prevent continued grinding and clenching. These bite appliances are made from polymers and acrylics. They are generally custom made for each patient for added comfort and protection. These bite appliances work by not allowing the teeth to touch, making it restrictive to clench or grind. For those with an extreme form of these habits, it is not unusual to grind through the appliance over time necessitating a new appliance to be made.

Obstructive Sleep Apnea (OSA)

This is sometimes known as the “silent killer”. Obstructive sleep apnea can be potentially a very serious sleep disorder in which breathing repeatedly stops and starts during sleep time. Obstructive sleep apnea is believed to affect about 25% of the population. Obstructive sleep apnea is characterized by:

-Excessive daytime sleepiness.

-Both habits of clenching and grinding at night.

-Episodes of breathing cessation during sleep.

-Awakening abruptly accompanied by shortness of breath.

-Dry mouth or sore throat upon waking in the morning.

There are generally two types of bite appliances available for obstructive sleep apnea. These include over the counter ones and custom fabricated ones. The idea behind either of these bite appliances is to maintain an open airway during sleep to stop the disturbances from occurring.  These bite appliances work by repositioning the lower jaw, tongue, and soft palate. The custom fitted appliances tend to work far better than the generic ones.

TMJ Disorder appliances

These bite appliances help to reposition and decompress the jaw. TMJ disorder appliances are generally worn at night, and help to decrease the inflammation and pain associated with TMJ instability.

Athletic Mouthguards

These have really come into fashion in the last decade, as more and more research has gone into sports medicine, better airway maintenance and prevention of concussions. The old days of the generic “boil and bite” mouthguard are slowly fading away. We are now in the age of custom fitted athletic mouthguards that are able to not only give better protection against injury but also increase athletic performance. The thinking is, that how an athlete clenches his/her teeth together changes the way the brain reacts. When using a proper athletic mouthguard, your brain will be better able to handle temperature regulation as well as stress.

Bite Appliances Conclusion

Bite appliance therapy has been around for quite some time but recent advances (in both technology and theory) have made the treatments even more effective than before. A small investment in a good bite appliance can make the world of difference in the health and well being of your teeth for the rest of your life.