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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.



Charcoal Toothpaste is all the rage for teeth whitening. Activated charcoal is also found in other popular items like supplement pills and cosmetic face masks. It is believed that activated charcoal toothpaste can be used for teeth whitening as well as giving you fresher breath. Does activated charcoal toothpaste actually make your teeth whiter or give you fresher breath over traditional toothpastes.

What Is Activated Charcoal Toothpaste?

Activated charcoal is a fine black powder made from bone char, coconut shells, peat, petroleum coke, coal, olive pits or sawdust. The charcoal is then “activated” by putting it under very high temperatures. These high temperatures change the charcoal’s internal chemical structure by decreasing the size of its pores and increasing its surface area. Once the charcoal undergoes this change it is now more porous than regular charcoal. This activated charcoal does not contain any toxic substances that are present in charcoal briquettes used in BBQ’s. Activated charcoal is commonly used in water filters. The porosity of activated charcoal allows it to bind to everything that comes its way. This can include stains, bacteria, tartar and plaque, as well as viruses. Activated charcoal is also commonly used in patients suffering from a drug overdose or poisoning.

Activated Charcoal Teeth Whitening Marielaina Perrone DDSActivated Charcoal Toothpaste….Is It Safe?

This is a controversial topic but there has been no long term research to date to prove that activated charcoal toothpaste is safe. What we do know is the following:

Activated charcoal toothpaste should not be used daily. The activated charcoal toothpaste is quite abrasive and can damage your tooth’s enamel. Wearing down your enamel can thin the outer layer out making your teeth appear yellower due to underlying dentin showing through. This tooth enamel erosion can also increase tooth sensitivity significantly. If you do choose to use an activated charcoal toothpaste it is recommended not to be used daily and to use a soft touch when brushing.

Lack Of Fluoride In Activated Charcoal Toothpastes. Most activated charcoal toothpastes do not contain fluoride. Fluoride is essential in keeping our teeth strong to defend against tooth decay. The British Dental Journal found that activated charcoal toothpaste may actually increase tooth decay. But this evidence needs to be researched further. Activated charcoal toothpastes can be used in conjunction with a regular toothpaste for people who are seeking a whiter smile, but it cannot be used in place of it.

Increased Staining. For obvious reasons, introducing a fine black powder can leave stains especially in teeth with fine micro cracks. This can also occur on dental restorations like white composite fillings, porcelain veneers and porcelain crowns.

Does Activated Charcoal Toothpaste Make Teeth Whiter?

Toothpaste that contains activated charcoal may help to remove teeth staining due to the activated charcoal’s abrasiveness. The activated charcoal also has the ability to absorb surface staining through its porous nature. To date there has been no evidence that it has a natural teeth whitening effect. Current teeth whitening products work by not only removing surface teeth stains (also called extrinsic stains) on the surface of teeth but also those below the surface (also called intrinsic stains). There just is not enough scientific evidence to prove that activated charcoal toothpastes are effective in whitening your teeth. No matter how dedicated you are to using activated charcoal toothpaste for teeth whitening, a major lightening of tooth color can only come from teeth whitening treatments that have the ability to penetrate below the external surface of our teeth. Therefore, the only recommendation that can be given right now is to use activated charcoal toothpaste to remove surface staining.

Alternatives To Activated Charcoal Toothpaste For Teeth Whitening

Your teeth whitening alternative options include:

American Dental Association (ADA) approved teeth whitening toothpastes

-American Dental Association (ADA) approved teeth whitening stripsCharcoal Toothpaste Las Vegas Marielaina Perrone DDS

-In office teeth whitening

-Dentist supervised at home teeth whitening

Charcoal Toothpaste For Teeth Whitening Conclusion

Charcoal toothpaste is safe for use as a teeth whitener. It is not to be used daily and as long as you need to understand charcoal toothpaste has definite limitations when it comes to teeth whitening. At this time, activated charcoal toothpaste is not the answer if you are looking for significantly whiter teeth. Your dentist can offer you better options. As always see your dentist regularly for a healthy, happy smile.




Teeth whitening has become a very popular dental procedure increasing in size each decade. We are all aware that our dentist can provide the tools to make our teeth whiter but can it be done at home naturally? Below you will find some of the popular teeth whitening methods:

Oil Pulling For Teeth Whitening

Oil pulling, also known as “kavala” or “gundusha,” is an ancient Ayurvedic dental technique that involves swishing a tablespoon of oil in your mouth on an empty stomach for around 20 minutes. This action supposedly draws out toxins in your body, primarily to improve oral health but also to improve your overall health. Traditionally, sunflower or sesame oil was used for oil pulling. Coconut oil has become a popular choice because it has a pleasant taste and offers other health benefits. Coconut oil has been shown to reduce inflammation and destroy bacteria due to its high lauric acid content. There have been numerous studies done that have shown that daily oil pulling can effectively reduce the amount of bacteria in the mouth. By reducing bacteria levels it can help with gingivitis. Streptococcus mutans is one of the primary types of bacteria in the oral cavity that cause plaque and gingivitis. One research study found that daily swishing with sesame oil significantly reduced Streptococcus mutans in saliva in as little as just one week.

There have been no definitive research studies to prove that oil pulling acts in a teeth whitening capacity. Many people that regularly use oil pulling have claimed their teeth are whiter

Marielaina Perrone DDS Teeth Whitening Las Vegas

Teeth Whitening Las Vegas

and brighter after routinely oil pulling. Since it is a safe practice it is worth trying for teeth whitening.

Oil Pulling Directions For Teeth Whitening

Place approximately 1 tablespoon of coconut oil in your mouth and push and pull the oil around your mouth and through your teeth. Coconut oil is a solid at room temperature, so you may need to wait a few seconds for it to melt. Try to continue the oil pulling for at least 15–20 minutes. For the safety of the pipes in your home, spit the oil into the trash can and not down the drain. As mentioned previously, the coconut oil will return to a solid at room temperatures.

Safe for daily use in teeth whitening.

Brushing With Baking Soda For Teeth Whitening

Baking soda is known to have natural teeth whitening properties. This is why along with its light abrasiveness it has become popular in commercial oral care and teeth whitening dental products. The abrasiveness can help clean stains that have built up on your teeth but totally safe to your teeth’s enamel. Baking soda has the added property of being alkaline in your mouth which can help prevent bacteria from multiplying.

It is important to note using baking soda as a teeth whitener will be a slow process. Results will not happen quickly. Research has not yet proven that brushing with plain baking soda will have any teeth whitening effect, but several studies show that toothpaste coupled with baking soda can have a significant teeth whitening effect. Toothpastes containing baking soda have been shown to be significantly more effective at removing yellow stains from teeth than standard toothpastes without baking soda. The higher the concentration of baking soda, the greater the effect.

Directions For Baking Soda Use

Mix 1 teaspoon of baking soda with 2 teaspoons of water. Then brush your teeth as normal with the baking soda paste. Again this is very safe and can be done multiple times per week if you wish.

Hydrogen Peroxide As A Teeth Whitener

Hydrogen peroxide is used by your dentist in their own teeth whitening products so we know it is effective and safe when used properly. Your dentist’s products will contain higher concentrations of Hydrogen peroxide. Hydrogen peroxide has been proven to be a natural bleaching agent that also kills bacteria in your mouth. Many commercial whitening products contain hydrogen peroxide, although at a much higher concentration than you will use.

Using hydrogen peroxide in high concentrations or lengthy times can cause damage to your teeth’s enamel layer so it is important to use under supervision.

Directions For Use

Common concentrations of hydrogen peroxide at the drugstore is a 3% solution. You can and should dilute this concentration to 1.5% by mixing equal parts peroxide and water.

Another way to use hydrogen peroxide is by mixing it with baking soda to make a toothpaste. Combine 2 teaspoons of hydrogen peroxide with 1 teaspoon of baking soda and gently brush your teeth with the mixture.

Limit the use of this homemade paste to a few times per week. Overuse can erode your tooth enamel with extended use.

Apple Cider Vinegar For Teeth Whitening

Historically, apple cider vinegar is used as a disinfectant and natural cleaning product. The main ingredient is acetic acid which effectively kills bacteria. This bacterial agent can also make it effective in the mouth.

A study performed on cow teeth found that apple cider vinegar does indeed have a teeth whitening effect on teeth. Unfortunately, they also found that vinegar may erode the enamel layor of teeth. Apple cider vinegar should not be used daily. You should also limit the amount of time that apple cider vinegar is in contact with your teeth

Apple Cider Vinegar Directions

Dilute the vinegar with water and swish it around in your mouth for several minutes. Make sure to rinse your mouth with plain water afterwards to limit the acid effect on your teeth throughout rest of day.

Fruits and Vegetables

Strawberries are believed to help with teeth whitening.

Strawberries

Teeth whitening with a strawberry and baking soda mixture is a natural remedy for teeth whitening. Favorites of this method claim that the malic acid found in strawberries will remove staining present on your teeth, while the baking soda will wipe away stains.

While strawberries may help exfoliate your teeth and make them appear whiter, they are unlikely to penetrate the stains on your teeth. Recent studies have found that a strawberry and baking soda mixture produced little to no color change in teeth, compared to commercial teeth whitening products.

Do not use this teeth whitening method more than a few times a week to be safe.

Natural Teeth Whitening Conclusion

Teeth whitening comes in many forms but nothing replaces dental hygiene to limit the stain build up as well as plaque build up. Remember to speak to your dentist before undertaking any of these teeth whitening regimens to ensure safety for your teeth and periodontal tissues.



Teeth whitening is a popular dental treatment but many want to know if it can be done at home? Hydrogen peroxide is a common product in most homes medicine cabinets as well as first aid kits. It has a range of uses. Hydrogen peroxide is also an active ingredient in many teeth whitening treatments. This has lead many people to wonder whether store bought hydrogen peroxide can work as a tooth whitener as well. While hydrogen peroxide may help whiten the teeth in certain situations it does not come without risks. There are some important safety issues to consider before using this product outside its intended form. Incorrectly used hydrogen peroxide can cause damage to the enamel of the teeth.

Effective For Teeth Whitening?

Hydrogen peroxide is a very common and highly effective active ingredient in many dental teeth whitening applications. Dental products containing peroxides (hydrogen peroxide and carbamide peroxide) act as bleaching agents to change the color of the teeth to lighter shades. Peroxide when used properly can partially penetrate the layers of the teeth, removing compounds that cause discoloration leaving teeth whiter than before.

Hydrogen peroxide can come in various concentrations depending on the product. Store bought teeth whitening kits generally are below 10% while kits purchased thru your dentist can be as high as 40%.

Many people assume that higher concentrations of peroxide may lead to more side effects (tooth sensitivity and enamel breakdown) but this is not always the case. However, it does appear that the length of time that these products are applied on the teeth is vitally important.

Studies as recently as 2016 have shown that lower concentration gels had more negative effects when left on teeth for longer period of times. Higher concentration gels require less application time which can reduce enamel damage and tooth sensitivity. A study in the American Journal of Dentistry found that a commercial mouthwash containing only 1.5% hydrogen peroxide caused a noticeable lightening in human tooth enamel after just four (4) weeks.

People who already have sensitive teeth may want to speak with their dentist before using hydrogen peroxide to whiten the teeth.

Risks?

There are some common risks to consider prior to using hydrogen peroxide for teeth whitening.

Most common side effects of teeth whitening include tooth and gum sensitivity, as well as irritated or inflamed gums. If you experiences these symptoms during teeth whitening treatment should stop using the product and contact your dentist to discuss other options that mat be gentler on your teeth and gums.

Some people may prefer to undergo hydrogen peroxide teeth whitening in a dental office setting. The dentist will ask the person to come in for a cleaning first. A professional dental cleaning will allow the hydrogen peroxide to penetrate the teeth evenly giving a bright smile.

Also during this appointment, the dentist will check for cracks, as cracks in the teeth can allow the peroxide to penetrate further into the tooth. This is important as it can become a problem if the peroxide comes into contact with the underlying dentin as it is likely to cause irritation or sensitivity.

Common At Home Remedies For Teeth Whitening

There are many other teeth whitening solutions that people can use at home. Many are not effective at achieving the proper teeth whitening a dentist can.

Most of these home remedies for tooth whitening should be relatively safe to try, though. They include:

-charcoal and salt

-baking soda

-lemon juice

-oil pulling with coconut oil

-apple cider vinegar

The American Dental Association does not recommend any of these methods for at home teeth whitening. Research also suggests that some of these methods are not effective and may actually harm the teeth or cause other adverse effects. So beware of the possible consequences. It is always best to speak to your dentist prior to attempting any of these treatments at home.

At Home Teeth Whitening Conclusion

Teeth whitening is a personal choice in many cases. It can also be quite dangerous to attempt on your own at home. Seek out professional care and advice form your dentist to ensure you achieve the results you want in a safe healthy manner.