Office

  • What do I do if I have an emergency when the office is closed?

    In case of a true dental emergency, please call our emergency phone number and let us know the nature of your condition. We’ll return your call as soon as possible, give you helpful information over the phone, then determine if you need to be seen immediately.

  • Do you accept referrals?

    When our wonderful existing patients and friends refer their friends, relatives, and neighbors to us, we consider it the biggest compliment we could receive. Our practice is always looking for new people to meet and get to know.

  • I am not currently a patient of yours, but I would like to make an appointment. Who should I talk to at your office?

    We will be glad to spend some time with you on the phone to discuss your dental wants and needs and schedule you for a comprehensive new patient examination.

     

General Dentistry

  • My Child’s First Dentist Appointment

    Your child should visit a dentist at or after age three. An early examination and preventative care will protect your child’s smile now and in the future.

  • Plaque – A Visible Dental Problem

    One of the easiest problems to spot is the build-up of plaque. Plaque is the soft, sticky layer of bacteria, which is constantly forming on the teeth. Usually it is invisible to the naked eye, but when a person is not brushing adequately, it can build up to where it appears to be a thick whitish coating on the teeth at the gum line. If not removed, it can lead to gum disease.

    Another potential problem, which is very easy to spot, is missing teeth. Many patients we see assume that if they are still able to eat, they are O.K. But very often, losing just one tooth can lead to the loss of support, and teeth begin to drift into the empty space, causing a change in the bite. It also forces the remaining teeth to carry an additional load, sometimes past their ability to adapt. In most cases, when even one tooth is lost, the remaining teeth suffer and are more likely to be lost as well.

  • Dental Decay And Cavity Prevention

    Fluoride has been a great benefit to patients of all ages in helping prevent dental decay, so regular brushing and flossing lower the chances of developing “cavities.” We know that the most decay-prone areas of teeth are the grooves and depressions on the chewing surfaces of the back teeth, which require further preventive care.

    To prevent decay, a plastic-like coating called a sealant should be painted on the chewing surfaces of all the back teeth. Studies have shown that sealants can reduce tooth decay by as much as 90% to 100% in the Hollywood area and nation wide. The American Dental Association recommends that sealants be placed as soon as the first adult back teeth come in at age 6 or 7.

    Sealants should continue to be used as each adult back tooth comes into the mouth. All back teeth that need to be sealed are present by age 13. Sealant application is simple, fast, and painless.

  • Prevention Of Tooth Decay

    Fluoride, in proper dosage, has been shown to significantly reduce. When fluoridated water has less than the ideal amount or is not available, fluoride supplements are recommended. (A call to your local water district is all that is necessary to determine whether your water has fluoride or not.)

    When supplements are needed, the administration of fluoride supplements should begin shortly after birth and continue through the time of eruption of the second permanent molars (approx. 12 years of age). Regular dental check-ups should begin no later than three years of age.

  • The Effect Of Diet On Dental Health

    Diets low in certain nutrients reduce resistance to oral and dental infections, that is, periodontal disease (gum disease) and decay. We feel a healthy immune system is essential to controlling periodontal disease. Counseling in the Four Basic Food Groups will improve dental and general health.

    The consumption of sugar, especially in sticky forms or in a baby bottle while sleeping, contributes to the rapid development of dental decay. The trace nutrient fluoride, may not be adequately supplied by bottle or municipal water supplies throughout the Hollywood area.

    Supplementation with oral tablets and topical application will reduce the incidence of dental decay by more than 60%. Together, a balanced diet, daily use of fluoride, effective brushing, and sensible eating habits can reduce the risk of, or even prevent, infectious dental disease.

  • Treatment For Dental Crisis

    Many people don’t see a dentist on a regular basis. They go only when they feel they have a problem.While these patients may feel they are saving money, it usually ends up costing much more in both dollars and time. The reason for this is that most dental problems don’t have any symptoms until they reach the advanced stages.

    An example is tooth decay. At dental offices, we hear all the time, “Nothing hurts… I don’t have any problems”. But tooth decay doesn’t hurt! Until, that is, it gets close to the nerve of the tooth. Then a root canal and crown are usually necessary, instead of the small filling, which could have been placed several years ago when the cavity was small.

    We can usually detect a cavity 3-4 years before it may develop any symptoms. It is not uncommon to see a patient with a tremendous cavity and they have never felt a thing!

Bad Breath

  • Treatment of Halitosis or “Bad Breath”

    We feel that while bad breath might be a symptom of some other disorder, it most likely stems from dental decay and periodontitis. Periodontitis is a disease affecting gums and bone that support the teeth, and it results from inadequate tooth brushing and flossing.

    In this disease, the irritated gums pull away from the teeth and form pockets between the teeth and the gums. These pockets fill with bacteria and pus which give off a foul odor. Patients with bad breath need a complete dental evaluation. If gum disease and/or dental decay is diagnosed, it can be treated readily. 

    The patient will no longer have an infection in his or her mouth, and he or she will no longer have the embarrassment of bad breath.

Caps and Crowns

  • Dental Hygiene with Dental Crowns?

    Once your crown is in place, make sure the area is brushed well and that you floss below the gum line. While the crown protects your remaining tooth from further decay, you must protect the base of the crown from bacterial growth and gum disease. Regular brushing and flossing as you would your natural teeth will ensure that your crown will be in place for years to come!

  • Dental Crowns Are Made Of?

    Dental crowns are most often made of gold or porcelain. Crowns can also be made of stainless steel, but those crowns are often temporary and not designed for long-term wear. Porcelain crowns usually are built on a metal base, which fits snugly over the natural tooth. We will choose a porcelain that matches the color of your natural teeth.

    Porcelain crowns are usually so carefully matched in color, they cannot be distinguished from your natural teeth. Many people choose porcelain crowns for their cosmetic appearance and the confidence it gives them. New materials are now available that allow the use of “all-ceramic” crowns in some cases.

    They have a beautiful life-like appearance and short-term studies support their success, with long-term trials ongoing. Crowns also can be made of all gold. Some people prefer not to use gold because it stands out from the other teeth in appearance. At the same time, if the crown is on a back molar, some people feel the cosmetic issue is not a big one.

  • The Functions Of Dental Caps And Crowns

    The crown serves two important functions. First, it restores the appearance of your teeth and your face. If your tooth is severely decayed or cracked, the dentist will need to restore it prior to preparing a cap. Teeth also support the muscles in our faces, so anything less than a full tooth may affect the way you look.

    Second, a crown will be the same size and shape as the natural tooth. As a result, it will keep your jaw and bite aligned; it will also make sure that other teeth don’t shift locations or take on a greater share of the work of biting and chewing.

Children's Dentistry

  • Prevention Of Tooth Decay

    Fluoride, in proper dosage, has been shown to significantly reduce dental decay. When fluoridated water has less than the ideal amount or is not available, fluoride supplements are recommended. (A call to your local water district is all that is necessary to determine whether your water has fluoride or not.)

    When supplements are needed, the administration of fluoride supplements should begin shortly after birth and continue through the time of eruption of the second permanent molars (approx. 12 years of age).

  • Mouthguards – Uses and Types
    “What are Mouthguards?”

    While mouthguards are not mandatory equipment in all sports, their worth is indisputable. Mouthguards cushion blows to the face and neck. A mouthguard should be part of every athlete’s gear, no matter the sport. Even adults or weekend athletes need to protect their smile and preserve their health. You should wear a mouthguard at all times when playing sports.

    Wear a mouthguard custom-fitted by a dentist, especially if you wear bridges or braces. Don’t wear removable appliances like retainers when playing sports. There are two types of mouthguards – The Custom Made and The Ready Made. The Custom Made are designed by a dentist and made on a cast of your teeth.

    These cause very little interference with speaking or breathing. They provide the best protection and fit over braces and fixed bridges. They also cost more. The Ready Made can be purchased at most sporting goods stores. They are the least expensive, the least effective, and least comfortable, but as we say “It is always better than nothing”.

  • Dental Decay And Cavity Prevention

    Fluoride has been a great benefit to patients of all ages in helping prevent dental decay, so regular brushing and flossing lower the chances of developing “cavities.” We know that the most decay-prone areas of teeth are the grooves and depressions on the chewing surfaces of the back teeth, which require further preventive care.

    To prevent decay, a plastic-like coating called a sealant should be painted on the chewing surfaces of all the back teeth. Studies have shown that sealants can reduce tooth decay by as much as 90% to 100% in the Hollywood area and nation wide. The American Dental Association recommends that sealants be placed as soon as the first adult back teeth come in at age 6 or 7.

    Sealants should continue to be used as each adult back tooth comes into the mouth. All back teeth that need to be sealed are present by age 13. Sealant application is simple, fast, and painless.

     
  • Decayed Baby Teeth – We Can Help!

    The Signs and appearance of teeth displaying bottle caries are brown teeth with fragmented edges and upper front teeth that break easily. Children who have erupted teeth or are past the age to be weaned are highly susceptible to rotted front teeth when being put to bed with a bottle containing milk, juice or other sugar-containing liquids.

    There is decreased salivary flow during sleep and clearance of the liquid from the teeth is slowed. The liquid pools around the upper front baby teeth and creates an excellent environment to promote the growth of decay-causing bacteria. Removing the bottle before the first tooth appears and wiping the child’s gums and teeth with a soft cloth before being put to bed can help prevent decay.

Cosmetic Dentistry

  • How can I have whiter teeth?

    We offer all the latest techniques in teeth whitening. We offer a whitening technique or the traditional at home supervised method using trays and whitening gels. Simply call for a free consultation, so that we can determine the potential for whitening your teeth, based on the current color and the causes of any discoloration.

    Advanced dental techniques now provide consumers with exciting, new options for enhancing their smiles. Revolutionary methods are now available for bleaching teeth to make smiles sparkle! Teeth bleaching or whitening lightens the color of teeth whether darkened from age, coffee, tea or tobacco. Its brightening effects can last up to five years after the treatment depending on your personal habits, such as smoking or drinking coffee or tea. Bleaching has a higher than 90% success rate. Bleaching is tough on stains but gentle on your teeth!

    Results vary depending on several factors such as teeth stained from smoking; from taking certain medications such as tetracycline during tooth development; or from fluorosis, a condition occurring in the presence of too much fluoride. Bleaching will not lighten fillings or artificial materials used in dental repair as for crowns, porcelain veneers, etc. Your dentist may discourage treatment if you have sensitive teeth, periodontal disease, teeth with worn enamel or if you’re pregnant or breast-feeding.

  • Can I replace silver-mercury fillings?

    For over 100 years, dentists have been using silver-mercury amalgam fillings to restore decayed or broken teeth. The only other alternative was gold and that was too expensive for most folks. Now there is a new and economical way to restore teeth using tooth-colored resin fillings. 

    The resin is made up of glass particles in a plastic matrix. We bond the putty-like material to the tooth with a high-intensity light. This hardens the material and allows it to be shaped and polished for immediate use.

    Once completed your tooth has a natural appearance and is actually stronger than before due to the strength of the adhesive agent used to bond the resin to the tooth. Resin restorations not only look better, but they are stronger and last longer than the old silver-amalgam fillings.

  • What are dental crowns?

    Teeth are often restored with fillings of silver or composite plastics. These materials can often accomplish the aim of replacing the part of the tooth that has been lost in a strong and good-looking manner. However, there comes a point where the damage to the tooth has removed too much structure to hold a filling. 

    The restoration must be done by a technique that will attach to the remaining tooth, stand up under heavier use and meet more elaborate cosmetic requirements. The crown is the dental restoration that can strengthen and restore the entire top of a tooth. The crown can also be part of the attachment of a fixed bridge for the replacement of teeth. 

    The tooth is strengthened because it is covered from the outside with a casting of metal or ceramic that will wrap up and splint the tooth. The chewing of the tooth can be improved because it can be reshaped to match more efficiently with the opposing teeth. A crown can improve cosmetics by the use of modern ceramic processes that produce translucency and color that is more natural than has ever been possible. Please call our office for a cosmetic consultation.

  • What are porcelain veneers?

    When teeth require significant changes in their shape or contour, veneers may be the answer. By placing veneers, small or misshapen teeth can be built up to regain a more natural appearance, spaces between teeth can be closed by making the teeth wider and teeth that are too short can be lengthened. The veneer is actually a thin piece of porcelain similar in size to a fingernail. 

    Once it is “bonded” onto the tooth it becomes extremely strong. We also blends the veneer in with the remaining tooth structure so that it is unnoticeable to the naked-eye. Once in place, it looks, feels, and functions just like a regular tooth. We can use porcelain veneers to change the shape and color of a single tooth or, if necessary, revamp an entire smile. 

    Porcelain veneers can also be used to correct teeth that have been worn from clenching and grinding. Please call us for a consultation. You may ask any of our professional team questions you have about the benefits of porcelain veneers.

  • How can I improve my child’s low self-esteem which is a result of poor self-image?
    “How can I improve my child’s low self-esteem which is a result of poor self-image?”

    The appearance of the teeth has a dramatic effect on both the person’s attractiveness to others and on their own self-image and self-esteem. Studies have shown that a person’s appearance will have a strong effect on their social and career success, by influencing how others perceive them.

    While the appearance of the teeth is one of the most important contributors to facial beauty, it is also probably the most often neglected when improvements to appearance are sought. A person with low self-esteem connected to their facial appearance, can often be greatly helped by cosmetic dental procedures. Dental make-overs have become more common, less invasive, and more effective in correcting deformities and cosmetic dental problems.

    The effect of these procedures can be nothing short of dramatic both in terms of appearance and also in terms of correcting, at least partially, personality deficiencies caused by poor self-image.  Ugly teeth are no longer a matter of fate; they are now becoming a matter of choice. Please call our office with any questions you may have about the benefits of a dental make-over.

  • Will cosmetic dental bonding comfortably repair my broken teeth?

    Bonding by our doctors can yield dramatic results in a single office visit. Essentially, bonding hides any natural flaws through the placement of a thin plastic coating on the front surface of the teeth. After treating the tooth surface, our doctors applies a putty-like bonding material that is then sculpted, shaped and colored to suit your needs.

    A high-intensity light causes the plastic to harden after which the new surface is smoothed and polished. Bonding can lighten stains, close gaps and even alter crooked or malformed teeth. We can even utilize it to change the shape or color of a single tooth or if necessary to remake your entire smile. Please don’t hesitate to call us with any questions.

     
  • What are tooth-colored dental restorations?

    For over 100 years, dentistry has restored teeth primarily with a material made of mercury and silver. It has done its job well, although we have had to live with its weaknesses. Those weaknesses consist of cracking teeth due to expansion of the material, and restorations turning black as the silver in the material corrodes.

    Now we have many ways to provide tooth-colored restorations. We can use adhesives to bond tooth parts that look and act like teeth. We can provide a bright, healthy and strong smile with these exciting new techniques in adhesion dentistry.

  • Can I fix my discolored, dark or stained teeth with tooth whitening dentistry?

    Tooth bleaching involves the placement of a bleaching solution on the teeth to eliminate stains and discoloration. The solution is held in place by a custom-made, see-through tray that fits over the teeth – much like a mouthpiece worn by a professional boxer. Bleaching is a safe, effective and relatively easy means of producing a whiter smile.

    We offer all the latest techniques in teeth whitening. We offer a whitening technique or the traditional at home supervised method using trays and whitening gels. Sensitive teeth, or those that are chipped, eroded or weakened by cavities, should be repaired or protected before they are bleached.

    Please don’t hesitate to call us with any questions you may have about the benefits of tooth whitening or tooth bleaching for a whiter smile.

  • Can cracked, worn, discolored or broken teeth be fixed with cosmetic dentistry?

    Tooth bleaching involves the placement of a bleaching solution on the teeth to eliminate stains and discoloration. The solution is held in place by a custom-made, see-through tray that fits over the teeth – much like a mouthpiece worn by a professional boxer. Bleaching is a safe, effective and relatively easy means of producing a whiter smile.

    We offer all the latest techniques in teeth whitening. We offer a whitening technique, or the traditional at home supervised method using trays and whitening gels. Sensitive teeth, or those that are chipped, eroded or weakened by cavities, should be repaired or protected before they are bleached.

    Please don’t hesitate to call us with any questions you may have about the benefits of tooth whitening or tooth bleaching for a whiter smile.

  • Can white tooth fillings be used to replace silver fillings?

    Many people in the United States have had silver fillings placed into their teeth because they had “cavities”. These silver fillings are called amalgams. Amalgam fills the space where the decay in the tooth has been removed.

    However, over time, the amalgam corrodes and leaks which blackens the silver, and many times the tooth. This is easily seen as soon as a patient opens his or her mouth and is usually a source of embarrassment for the patient.

    We can provide you with composite fillings that are made of a porcelain-like material that actually bonds to the tooth for a tight seal. They are strong and stain-resistant, and they are color-matched to the natural tooth, making them “invisible”.

    Composite fillings also lack the sensitivity that is often associated with silver amalgam fillings. They are especially suited for smaller cavities and for patients who may be allergic to metal fillings. For more information, please do not hesitate to call us with any questions you may have about the benefits of replacing silver amalgam fillings with invisible composite fillings.

Dental Emergencies

  • Tooth Loss Accidents

    Know The Proper First Aid – If the tooth is loose, even extremely so, but is still attached in any way, leave it in place; do not remove it. If it is out of its socket completely and unattached, but still in the victim’s mouth, it is best to have the person hold it there, if possible, until a dentist can attempt re-implantation.

    If it is out of the mouth, do not let it dry out. Handle it as little as possible. Do not attempt to disinfect the tooth, or scrub it, or remove any tissue attached to it. Call our office immediately. If it is recovered from the ground or other soiled area, rinse it off in lukewarm water. Preserve it in milk until a dentist can examine it.

    If milk is not available, lukewarm water will suffice. Time out of the socket is critical in the long-term success of re-implantation. After 30 minutes, the success potential begins to decline. However, re-implantation is still possible after several hours, so the attempt can still be made even if the tooth has been out for a long period.

Dental Implants

  • What Can Be Done For A Single Missing Tooth?

    In the case of a single missing tooth, a dental implant can be placed in the jawbone area of the missing tooth. The implant will serve as a replacement for a tooth root and an individual crown. The total apparatus is referred to as a single-tooth implant crown. Once in place, the implant crown will look, feel, and function like a natural tooth.

    They are cleaned and flossed just like natural teeth, and best of all, they do not require any special tools to clean around them like bridges. Although dental implants will not decay, they require impeccable oral hygiene.

     
  • What Types of Dental Implants Are There?

    There are several different types that are available, however the American Dental Association (ADA) considers both the endosteal and the subperiosteal implants to be acceptable. An important factor for selection is to determine whether or not your jawbone can adequately support the implant. Most dental implants placed today are endosteal root form fixtures (similar to a man-made tooth root).

  • Are There Any Technology Facts Concerning Dental Implants I Should Know?

    The technology has been around for decades. In fact, some patients have had dental implants for more than 40 years. Hundreds of thousands of dental implants have been inserted with more than a 90% success rate. All other metal implants in the body (including hips and knees) are the result of the dental implant technology.

  • How Can I Find A Good Dental Implant Dentist?

    When getting dental implants, you should select a dentist or dental team with in-depth knowledge and prior experience with all aspects of the treatment. It is also important to know that implant treatment consists of two components: a surgical phase and a restorative phase.

    Traditionally, a dental surgeon, like an oral surgeon or a periodontist, performs the surgical component. A general dentist, or prosthodontist and laboratory technician performs the restorative component. However, as implant dentistry has become more sophisticated, sometimes a dentist who specializes in restorative dentistry conducts the entire procedure.

  • How Would I Get My Missing Teeth Replaced With Dental Implants?

    “Well, you know Doc, it’s just a back tooth. No one will see it so I’ll just get rid of it. It’s not going to make a difference.”  Unfortunately we hear this type of comment more often than you would think. The plain truth is that it will make a difference. We know that the loss of just a single tooth can set a course that can destroy an entire mouth. 

    “Well, if that’s true, tell me more. I sure don’t want to lose the front ones that I smile with.” We often answer with an explanation that teeth will drift and tip into a space that is created by missing teeth. Just like two gears of a car that are not properly aligned, pretty soon you’ve got a whole lot of problems. “Well, I don’t like that. What can I do?” 

    If it sounds like I’ve heard this conversation a few times, you’re right. If I’m going to keep a patient happy, I need to provide options at this point. One of the options we often discuss here would be a dental implant. This is the replacement of a tooth with a false root that is surgically placed. Our doctor then carefully constructs a dental crown to replace the missing tooth, to prevent teeth from shifting and thereby causing further tooth loss.

  • What Are The Number of Dental Implants Recommended?

    This is a question that should be determined during the treatment plan. A good rule-of-thumb is to place one implant for each tooth replaced. Other decisive factors for the number of implants needed for success is the quality and quantity of the patient’s bone. Equally as important are the existing anatomy of the bone and the financial resources of the patient.

    Placing enough implants to restore teeth is vitally important to the long-term success of the restoration. Simply stated, the most costly mistake is to have an implant fail because not enough implants are placed to support the teeth. If the number of implants is limited due to financial constraints of the patient, then the implant treatment should be avoided or the type of restoration must be altered.

     
  • What Is The Process For Dental Implants?

    After assessing the patient, a comprehensive treatment plan can be devised. From that point, implants are surgically placed in the jawbone under local anesthesia. The length of the healing time is based on the quality and quantity of bone, as well as the type of implant placed. After adequate healing is allowed to occur, the implant can be used to support a crown, bridge, or denture. For more information or questions, please give us a call.

     
  • Dental Implants – What Are They?

    A dental implant is a titanium metal replacement for a root of a tooth that is surgically implanted in the jawbone. As the body heals for approximately two to six months after the surgery, the bone around the implant fuses to the implant through a process called osseointegration.

    After the healing phase is complete, the implants are used to anchor crowns, bridges, or dentures. Dental implants are the most natural replacement for a missing tooth.

  • Can I Replace A Missing Tooth Using Dental Implants?

    Losing a tooth by accident or by extraction is not the end of the matter. When a tooth is missing, the resulting gap will allow nearby teeth to tilt or drift from their normal position, and the teeth above the gap will move downward. Aside from the obvious cosmetic problem, the changed positions of these teeth can lead to severe bite problems causing jaw pain and headaches.

    Missing teeth should be replaced to keep other teeth in their normal position. This can be done by our doctors with a fixed bridge or a dental implant. Both of these treatments offer a good functional and cosmetic result. Please call our office with any questions you may have regarding the benefits of replacing missing teeth with bridges or dental implants.

     
  • Are Dental Implants A Perfect Fit?

    If you are missing one or more teeth, you’ll want replacements that are as natural as possible. If dentures don’t work for you, you may consider dental implants. Unlike dentures, which can be removed, implants are permanently anchored into the jaw itself.

    Generally, you are a good candidate for implants if you have jawbone ridges that are in good shape and healthy oral tissues. When the implant device is inserted into the jaw, a chemical and mechanical bond is formed. The jawbone actually grows into the implant. With implants, you get a perfect fit, and they will look and feel as good as (or better than!) your original teeth!!

Dental Questions

  • I don’t like the ugly black fillings in my mouth. What can I do to make those look better?

    Those dark fillings are made of dental amalgam – a mercury silver filling material that turns dark and stains teeth as the years go by. What’s even worse, is that mercury silver filling expands or grows larger with age, while the tooth underneath stays the same size.

    This differential causes teeth to fracture. In fact, this is one of the reasons why our practice has chosen almost exclusively to use white fillings and /or porcelain restorations. For more information, please do not hesitate to call us.

  • Do I really have to floss every day? I mean – what’s the big deal?

    Our hygienist has a saying – “only floss the teeth you want to keep”. And while that sounds funny, it’s actually true. Flossing is the only way to completely remove accumulated plaque between the teeth. If it’s not removed, it inevitably leads to decay and periodontal disease. For more information, please do not hesitate to call us.

  • My gums bleed after I brush. Is this something to be concerned about?

    It is certainly not desirable to have bleeding gums following brushing. However, the condition may or may not require attention, depending on the source of the problem.

    Bleeding gums can be caused by any of the following: Improper ‘scrubbing’ instead of gentle, circular brushing motions; using a hard bristled tooth brush instead of a soft one; plaque and / or tartar buildup below the gumline, periodontal disease. If the problem persists despite correct brushing and flossing methods or occurs every time you brush, contact our office to setup an evaluation appointment.

  • What precautions do you take to ensure patient safety?

    Our entire practice team is well-versed in state-of-the-art sanitation techniques designed to ensure patient safety. This goes beyond wearing gloves and face masks to prevent passing germs and includes a specialized sanitation center for sterilization and meticulously following OSHA guidelines.

  • What about my children, at what age do they first see a dentist?

    Early visits provide several advantages: they give us the opportunity to spot and prevent any potential oral health / dental problems; they can also give the child a positive, non-threatening dental office experience. That’s why we recommend parents to bring their child in at or after the age of three.

  • How do I know when it’s time to come in for a check up?

    An average healthy adult person typically benefits from a professional cleaning and check up every six months. However, it’s tough to generalize because every mouth is different.

    Some people are prone to gum disease, bruxism, or other ongoing oral health concerns that require more frequent visits; others simply need a routine professional tartar removal at regular intervals.

    That’s why we’re so careful to check methodically and determine what kind of ongoing professional treatment will achieve your optimum dental health.

Dentures

  • Xerostomia – Dry Mouth

    Dry mouth problem is common in the Hollywood area. The lack of adequate saliva is more than bothersome for three out of every ten Americans. When the natural flow of saliva is reduced, you can experience trouble swallowing, pain throughout oral tissues and, nearly always, a short-cut to dental caries and gum disease.

    The tongue sticks, food doesn’t have much taste, and digestion suffers. We knows that Xerostomia, or dry mouth syndrome, can come with aging, or often as a side effect of many medications. Half of cancer patients undergoing chemotherapy experience an extreme form of xerostomia, with critical effects on their dental health.

    We can help provide relief in the form of prescriptions for dry mouth toothpaste, special saliva-producing chewing gum, or saliva substitute solutions.

  • Repairing Broken Dentures
    “What should you do if your dentures crack or break?”

    Call your dentist immediately. Normally, dentures can be repaired quickly, often on the same day. Damaged dentures can cause additional oral health problems, so see your dentist right away. Never attempt to repair dentures yourself.

    They require professional repair and adjustment. “Why can’t you fix dentures that break with glue?” Glues often contain harmful chemicals and are not effective in the proper repair of dentures. For more information about how we can help you with denture problems, call us , we will be happy to talk with you.

  • Denture Care And Good Oral Hygiene
    “How do you clean your dentures?”

    When cleaning your dentures, you should first rinse away loose food particles thoroughly. Then moisten your toothbrush and apply denture cleanser. Brush every surface, scrubbing gently to avoid damage.

    “How many times a day does the denture need to be cleaned?”

    The denture needs to be cleaned two to three times daily.” What is good oral hygiene when you have full dentures?” In addition to taking care of your dentures, taking care of your mouth also is vital if you wear full dentures. This includes brushing your gums, tongue, and palate every morning with a soft-bristled brush before inserting your dentures. This stimulates your tissues and helps remove plaque.

  • Questions And Answers About Dentures

    “What do dentures feel like?” For a few weeks, new dentures will feel awkward until you become accustomed to them. They might feel loose until the cheek and tongue muscles learn to hold them in position. It is not unusual to feel minor irritation or soreness. The patient needs to see his or her dentist for regular fit adjustments to relieve any sore areas.

    “Do dentures need to be replaced?” We find that dentures will need to be relined, remade, or rebased due to normal wear over a period of time and normal shrinkage of your gums and bones.

    “Are you able to eat with dentures?” Eating with dentures will take a little practice. You should start with soft foods that are cut into small pieces. As you become used to chewing, you can return to your normal diet.

    “Are there foods you should avoid if you wear dentures?” There are only a few eating restrictions for denture wearers. Avoid biting down directly on crunchy or hard foods, like whole apples, hard pretzels, crusty bread, or large sandwiches. They can break because of the angle where the denture comes into contact with the hard surface. Biting is limited only by the stability of the dentures themselves. Insufficient bone structure (shrunken bone ridges covered by gum tissue), old or worn dentures, and a dry mouth decrease stability.

    “If you wear dentures, are dental adhesives necessary?” Today’s dentures have been significantly improved through advances in both dental and materials technologies. As a result, dentures that fit properly usually do not require adhesives to secure the dentures. When you are just getting used to dentures, adhesives may be advised, but otherwise should not be necessary.

    We feel a loose denture is a sign that it doesn’t fit your mouth correctly. When first getting used to dentures, you may notice them slipping when you laugh, smile, or cough, which is caused by air getting under the base and moving it. The more you wear dentures, the better you will be able to control their movements in these situations. If your mouth has insufficient bone structure, dentures will be more difficult to retain. Dental implants may be advisable. These are placed in the bone and retain the denture with small, precision attachments.

  • Partial Denture FAQ’s

    “What are partial dentures?” Partial dentures are dentures that replace only a few missing teeth. “How do you wear a removable partial denture?” Removable partial dentures are attached to your natural teeth with metal clasps or devices called precision attachments. “How long will it take to get used to wearing a partial denture?” Your partial denture may feel awkward or bulky for the first few weeks, but your mouth will eventually get used to it.

    “How long should you wear a partial denture?” Initially, you may want to wear your partial denture all the time. Your dentist will give you specific instructions on how long it should be worn and when it should be removed. Generally, your mouth tissues need to rest so it is advisable that you take out your partial denture at least 15 minutes per day. “Will the partial denture change the way you speak?” Your partial denture may help your speech. It can be difficult to speak clearly when you are missing teeth. However, it also will take time to get used to it.

  • The Right Denture For You

    “What are dentures? ” Dentures are removable prosthetic devices designed to replace missing teeth. “What about partial dentures?” Partial dentures are dentures that replace only a few missing teeth. “What are complete dentures?” Complete dentures are dentures that replace a complete set of missing teeth “What is the difference between conventional dentures and immediate dentures?”

    Conventional dentures are dentures that are made and placed after the remaining teeth are removed and the tissues have healed. Immediate dentures are dentures that are placed immediately after the removal of the remaining teeth. “What is an over-denture?” An over-denture is a denture that fits over a small number of remaining natural teeth or implants.

Financing

  • How much will my treatment cost?

    Although we understand that you wish to know what your financial obligation will be before coming to the office, it is impossible to tell exactly how much treatment will be until we examine you. Remember the longer you wait the more damage untreated decay and gum disease can cause.

  • What different payment options do you provide?

    Helping to make your dental care financially comfortable and affordable is important and we proudly offer a variety of options. Please contact us for this information.

    We are happy to estimate fees and insurance reimbursement before starting recommended treatments and will gladly file insurance forms for you.

    Optimal, comprehensive dentistry is what we practice and we do not base our treatment on what insurance will or will not pay. We base our treatment on what is best for you, our patient, and any treatment not paid by insurance is your financial responsibility.

  • Do you accept my insurance plan?

    Our office is more than happy to work with any insurance company; filing insurance claims for you, and accepting direct payment. However, as a patient, you are ultimately responsible for your account, so it is always suggested that you check the particulars of your plan in order to anticipate your out of pocket expenses. We would be happy to answer any more questions you may have, simply ask one of our friendly and knowledgeable team members. We are here to assist you!

Gum Disease

  • Gingivitis – Oral Periodontal Disease

    Gingivitis is the most common periodontal disease, affecting 90% of the population, including our local Hollywood area community. It is an infection of the gums caused by bacteria that form plaque. In small amounts (when it is newly formed), plaque is invisible and relatively harmless. 

    But when left to accumulate, it increases in volume and the proportion of harmful bacteria grows. These bacteria release toxins that result in inflammation of the gum tissue.  Eventually, the plaque hardens and forms hard deposits called calculus or tartar. If not properly treated, gingivitis may progress to periodontitis, a periodontal disease in which there is loss of the bone that supports the teeth.

  • Undetected Gum And Bone Disease

    We feel that prevention is an overused word in our vocabulary but we all know it works. You see it in what you do every day. Who wouldn’t rather prevent a crisis than manage one? In the Hollywood area awareness of gum and underlying bone disease is very low.

    Only 50% of the population visits a dentist on a regular basis. Of that 50%, 80% have some degree of gum and bone disease. It is an epidemic. Were this any other disease, we would be calling on the CDC for immediate action!

     
  • Plaque – A Visible Dental Problem

    One of the easiest problems to spot is the build-up of plaque. Plaque is the soft, sticky layer of bacteria, which is constantly forming on the teeth. Usually it is invisible to the naked eye, but when a person is not brushing adequately, it can build up to where it appears to be a thick whitish coating on the teeth at the gum line. If not removed, it can lead to gum disease.

    Another potential problem, which is very easy to spot, is missing teeth. Many patients we see assume that if they are still able to eat, they are O.K. But very often, losing just one tooth can lead to the loss of support, and teeth begin to drift into the empty space, causing a change in the bite. It also forces the remaining teeth to carry an additional load, sometimes past their ability to adapt. In most cases, when even one tooth is lost, the remaining teeth suffer and are more likely to be lost as well.

     
  • Periodontal Gum Disease Is Silent And Deadly

    Periodontal disease can go on for years without pain and without detection unless specific examination procedures are performed. Visual oral examination by itself (even by a dentist) will not reliably detect periodontal disease until it has reached an advanced stage. Early detection and adequate diagnosis require measurement of pockets (the crevice between the tooth and gum) with a periodontal probe.

    At our dental office, effective prevention and treatment is available, but the damage caused as the disease progresses is irreversible. Early detection by our doctors and treatment is critical to prevent tooth loss and disfigurement. Although the procedure is simple, painless and requires only a few minutes, millions of American adults have never had it done. Some signs of periodontal disease are: bleeding gums, redness of gum tissue, swelling of gums around the teeth, breath odor, receding gums, and mobility of the teeth.

  • Severe Gum Disease Can Instigate Joint Replacement Infections

    We strongly recommend a thorough dental examination for determining the presence of tooth and gum infection prior to joint replacement. Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth.

    This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population. Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection until they visit our office. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.

    Candidates for joint replacements who have not been seen by us in over a year should consider a thorough dental evaluation of their teeth and gums before surgery. Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.

  • The Stages Of Gum Disease

    The American Dental Association says that over 75-80% of all adults, even in the Hollywood area, have or will have some form of gum disease. Gum disease, or more correctly called “periodontal disease”, is a bacterial infection in the gums and supporting structures of the teeth.

    It can be divided into several categories. The first stage is called “gingivitis” and is characterized by gum tissue that is red, puffy, and bleeds easily when touched with a toothbrush, floss or dental instrument. The second, third, and fourth stages are initial, moderate, and advanced “periodontal disease”, respectively. 

    These stages are different from gingivitis because the infection has destroyed the bone supporting the teeth, causing eventual tooth loss. 

  • Pregnant Women And Gum Disease

    Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after their pregnancy. This is often seen as being a “normal” side effect of being pregnant. However we feel that dental disease, which is an infection of the teeth and/or gums, is not “normal” for any patient.

    There are three basic events that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease. Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugars and acids more often. Third, cravings for “junk foods” and inadequate oral hygiene pose an increased threat to the teeth and gums.

    Pregnant women in the Hollywood area are advised to schedule a dental evaluation and receive preventive dental care at our dental office. Personalized oral hygiene will be given to fight disease and promote overall good health for the mother and her baby.

Infant Dental Care

  • Thumb Or Finger Sucking In Infants

    Thumb sucking is perfectly normal for infants, however most stop by the age of two. Prolonged thumb sucking (beyond age 5 or 6 years) can create crowded, crooked teeth or bite problems. We will be glad to suggest ways to address a prolonged thumb-sucking habit.

  • Prevention Of Tooth Decay

    Fluoride, in proper dosage, has been shown to significantly reduce. When fluoridated water has less than the ideal amount or is not available, fluoride supplements are recommended. (A call to your local water district is all that is necessary to determine whether your water has fluoride or not.)

    When supplements are needed, the administration of fluoride supplements should begin shortly after birth and continue through the time of eruption of the second permanent molars (approx. 12 years of age). Regular dental check-ups should begin no later than three years of age.

  • Nursing Or Bottle Feeding Tooth Decay Prevention
    “How can I prevent tooth decay from nursing or a bottle?”

    According to our doctors, taking your baby off of the breast when he/she falls asleep can prevent baby tooth decay. Hold your baby while bottle feeding. Always take a bottle filled with milk or juice away from the sleeping child.

    If your child requires a bottle at bedtime, provide a bottle filled with water. Instead of a bottle, try comforting your child with a pacifier or a favorite toy or blanket. Check with your health care provider to make sure your child is getting the right amount of fluoride. Brush your baby’s teeth with a soft toothbrush daily.

  • Dental Problems Of Infants
    “What dental problems could a baby have?”

    Dental problems can begin early. A big concern is Baby Bottle Tooth Decay (BBTD), which is preventable. BBTD can result from long periods of exposing baby teeth to liquids that contain sugar including formula, milk, breast milk, and juice.

    A baby who has a habit of sleeping with a baby bottle filled with any sugary liquid or a breast in their mouth is at risk of getting BBTD. Frequent snacking on sweet or sticky foods can also cause decay.

    The earlier your first dental visit, the better chance of preventing dental problems. Children with healthy teeth can chew food well, speak clearly and share precious smiles. Start your child on a lifetime of good dental habits now!

  • My Child’s First Dentist Appointment

    Your child should visit a dentist at or after age three. An early examination and preventative care will protect your child’s smile now and in the future.

  • Decayed Baby Teeth – We Can Help!

    The Signs and appearance of teeth displaying bottle caries are brown teeth with fragmented edges and upper front teeth that break easily. Children who have erupted teeth or are past the age to be weaned are highly susceptible to rotted front teeth when being put to bed with a bottle containing milk, juice or other sugar-containing liquids.

    There is decreased salivary flow during sleep and clearance of the liquid from the teeth is slowed. The liquid pools around the upper front baby teeth and creates an excellent environment to promote the growth of decay-causing bacteria. Removing the bottle before the first tooth appears and wiping the child’s gums and teeth with a soft cloth before being put to bed can help prevent decay.

  • Infant Teething Advice
    “Any advice on teething?”

    Sore gums from teething often occur for a few days at a time between six months to age three. Babies often get relief from a clean teething ring, cool spoon, cold wet washcloth or toothbrush. Chilled teething rings or rubbing a clean finger on the sore gum area often helps, too.

  • Teething – Primary Teeth Eruption

    Since the eruption of primary teeth is a normal and natural process, these signs and symptoms are to be expected: Increased salivation, Putting fingers and hands into the mouth, Restlessness, and Fretful behavior. Children may display other symptoms such as fever and systemic disturbances, such as croup, diarrhea, etc. These are coincidental to eruption and should be treated medically by the pediatrician as necessary.

  • My Baby’s Teeth Cleaning
    “When should I start cleaning my baby’s teeth?”

    This is a good habit to start early! The teeth must be cleaned as they erupt. Use a damp washcloth or a toothbrush. If your health care provider agrees, use a tiny dab of fluoride toothpaste.

    Tooth brushing is definitely a parents job in the preschool years. Children are usually able to brush their teeth well when they are 8 years old. Be sure to check your child’s teeth regularly for any chalky white or brown spots which could be the beginning of tooth decay.

     

Infection Control

  • AIDS Concerns Of Dental Patients

    A recent survey of dental patients in the Hollywood area and nation wide showed that patient protection was #1 on their list of concerns about dental care. Some patients have even quit going to the dentist because of their fears. Fortunately, trips to our office have never been safer.

    The case in Florida where the patient was apparently infected with the AIDS virus by her dentist is the only such case out of tens of millions of dental treatments performed since the introduction of the virus. The Center for Disease Control still does not know the method of infection.

    However, even one case is too many. We have responded by adopting “universal (or standard) precautions”. These involve sterilizing all instruments in dry-heat ovens or steam autoclaves to kill any bacteria. Disposable items are used whenever possible.

    The chance of contracting an infection in the dental chair is extremely remote, but the chance of losing one’s teeth because of lack of proper dental care is extremely likely. If you have any concerns, please call us today.

  • Severe Gum Disease Can Instigate Joint Replacement Infections

    We strongly recommend a thorough dental examination for determining the presence of tooth and gum infection prior to joint replacement. Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth.

    This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population. Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection until they visit our office. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.

    Candidates for joint replacements who have not been seen by us in over a year should consider a thorough dental evaluation of their teeth and gums before surgery. Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.

Orthodontics

  • Orthodontic Brace Care

    When your mouth is loaded with extras – bands, brackets, and wires – brushing your teeth gets tougher and extra important. Plus, braces interfere with the natural chewing process that normally bathes and exercises gums and helps clean teeth. We feel caring for your teeth and keeping them cavity-free is a top priority during orthodontic treatment.

    While proper-fitting bands or brackets usually protect the covered portion of your teeth, the brackets and wires on the outside of teeth make it harder for the toothbrush to clean between teeth. Trapped food particles and plaque are a breeding ground for cavity-causing bacteria. Gum disease also can develop, causing swelling and making cleaning even more challenging and painful. Improper care can also stain tooth enamel.

    “How often do I need to brush with dental braces?” Preferably brush within five minutes after you eat anything, whether you’re snacking or after a meal. Brushing away cavity-causing bacteria helps keep your teeth cavity-free. Carry a travel toothbrush in a backpack, purse, or briefcase to always have on hand for brushing away from home.

    “How do I brush my teeth with braces?” Brush between wires and gums to loosen any food particles. There are special toothbrushes for this, check with your orthodontist for recommendations. Start on the outside of your upper teeth, positioning the bristles at a 45 degree angle, toward the gum. Brush two to three teeth at a time using a circular motion, about ten strokes. Next, brush the inner surfaces in the same manner.Brush the chewing surfaces.

    Repeat the same process for the lower teeth as for the upper ones. Rinse your mouth as well as your toothbrush. Check your teeth in a mirror to make sure you’ve brushed all tooth surfaces. Floss daily between braces using a floss threader. Toothpicks, stimudents, and other interdental devices work well under brackets. You may also want to use a water oral hygiene device that helps to remove food particles the toothbrush may not reach. It is used in addition to brushing and flossing, not as a substitute. While wearing braces, be sure to schedule regular dental exams every three to six months for cleanings to keep your teeth and gums healthy. Ask your dentist and orthodontist how often they wish to see you.

  • Orthodontic Braces – When To Start

    We use the simple guideline that children should be examined at the time their permanent teeth are beginning to come in. However, every child is different, and the best starting time for orthodontic treatment depends on the type of problem and how severe it is. So the answer really is: “It depends…”  If your child requires treatment, early intervention can make a real difference.

    We see the best results with treatments that would be impossible once your child’s face and jaw have completely developed. Also, when started early, completion of treatment at a later age is much easier. During an initial examination, your dentist will evaluate your child’s facial growth, spacing between teeth, crowding, extra or missing teeth. And they will look for habits like tongue-thrusting and thumb-sucking that may hinder normal growth and development.

    These problems can change tooth alignment as well as alter facial appearance. If your child doesn’t require any early treatment, most dentists will schedule periodic follow-up exams while the permanent teeth are coming in and the face and jaws continue to grow. Orthodontic treatment can bring your child’s teeth, lips and face into harmony. And we all know that a pleasing appearance and beautiful smile give children — and adults – a big advantage in life. Call us for more information.


  • Orthodontic Problems

    Most orthodontic problems are inherited, including tooth size and jaw size, and may lead to crowding of teeth or spacing of teeth. Overbites, underbites, extra or missing teeth, and irregularities of the jaws, teeth, and face also are inherited. Other orthodontic problems can be caused from accidents, pacifier or thumb sucking, dental disease, or the premature loss of either the primary or permanent teeth.

    Most orthodontic problems are inherited, including tooth size and jaw size, and may lead to crowding of teeth or spacing of teeth. Overbites, underbites, extra or missing teeth, and irregularities of the jaws, teeth, and face also are inherited. Other orthodontic problems can be caused from accidents, pacifier or thumb sucking, dental disease, or the premature loss of either the primary or permanent teeth.

    A number of childhood habits can lead to orthodontic problems, such as thumb or finger sucking, sucking on a pacifier, sucking on a lip, mouth breathing (often caused by enlarged tonsils and adenoids), fingernail biting, and “tongue thrust”.

  • Orthodontic Dentistry FAQ’s
    “What is Orthodontics?”

    Orthodontics, also known as malocclusion or “bad bite,” is described by the American Association of Orthodontics as the branch of dentistry that specializes in the diagnosis, prevention, and treatment of dental and facial irregularities.

    “What is an orthodontist?”

    An orthodontist is a dentist who has undergone specialized training to diagnose, prevent, and treat dental and facial irregularities in patients. Within the U.S., orthodontists are required to complete a two- to three-year advanced residency program in orthodontics following the completion of their four-year graduate dental program. Each of these programs must be accredited by the American Dental Association’s Commission on Dental Accreditation.

     
  • Avoid Certain Foods With Orthodontic Braces
    You can eat just about anything, but there are some exceptions. Getting used to braces also usually means making a few adjustments in your eating habits. This is because some food might damage your braces or cause problems for your teeth. Here’s a list of items to avoid (or some ways they can still be enjoyed with caution):

    1. Apples (don’t bite into a whole one! Cut it into wedges first.)

    2. Bubble gum (some orthodontists allow sugarless gum, but check with yours for approval) .

    3. Candy (caramels, taffy, nut brittles, fruit-flavored chewy candies, gummi anything!)

    4. Carrots (avoid sticks, cut into thin curls)

    5. Corn on the cob (remove the kernels from the cob, then enjoy!)

    6. Corn chips/crisp tacos

    7. Hard foods (they’re tough on braces, causing bending and breaking)

    8. Ice (no crunching!)

    9. Lemon juice/lemons (pure lemon juice is very hard on your tooth enamel)

    10. Nuts

    11. Pizza crust/crusty breads (outer edges)

    12. Popcorn

    13. Pretzels (the large, hard varieties)

    14. Sticky foods (can bend wires and pull off brackets)

    15. Sugary foods (avoid these as much as possible; if you do eat them, brush your teeth within minutes or as soon as possible, or at least rinse your mouth with water)

  • The Initial Process For Getting Orthodontic Braces
    What usually happens during an initial orthodontic exam?

    In order to determine your specific needs,the dentist will completely evaluate your mouth. This will likely include: Impressions of your teeth, from which models are made (these are useful for your dentist, and will remind you exactly how your teeth looked before correction), Photographs of your teeth, face, and smile, X-rays of your head and teeth, and Your medical health history and dental health history. Your orthodontist will then carefully evaluate your specific needs and provide you with a treatment plan for correction. Following the recommended plan is important for proper correction.

    “What are spacers?”

    Teeth normally fit tightly against one another. Spacers are inserted before placement of your braces to provide some space between teeth for attaching the bands. There are two types of spacers, small springs or plastic modules. In just a few days they gently move desired teeth slightly apart. Spacers often cause some soreness, but this goes away in a few days. Rinse your mouth with warm salt water to relieve the irritation. Your normal chewing also helps to get your mouth feeling better.

    “What do I do if a spacer comes out?”

    Call your orthodontist immediately for a replacement. That little spacer is making just enough room for a comfortable fit for your braces and plays an important role.

Post Surgery Care

  • What Is A Dry Socket?

    After a tooth has been extracted, the socket is filled with a blood clot. Slowly, the clot shrinks and fills in. That is, a skin or a covering with tissue similar to the rest of the mouth (mucous membrane) begins to cover the clot and the tissue in the clot area is ingrown by bone cells and tissue cells. Eventually, the area shrinks and the socket is eliminated and replaced by firm tissue, and the depth of the socket fills with bone. The healed area usually is narrower than the site of the original tooth.

    The pain following an extraction usually lasts no more than a day or two, at the most. If the clot breaks down or is washed away, the protective covering of the exposed bone is lost and the bone can be exposed to the mouth bacteria. This painful condition is known as dry socket. One of the features of its presence is that post-extraction pain persists longer than a couple of days and can be quite severe. Though the causes are not known with certainty, some factors seem to predispose individuals towards a dry socket:

    1. Those people who have gingivitis or periodontal disease.

    2. Those who have had lower or mandibular extractions, particularly on posterior (back) teeth such as molars and pre-molars.

    3. Those who have teeth that are difficult to extract and necessitate bone removal.

    4. Those that are particularly difficult to numb and so need several cartridges of local anesthetic. Some local anesthetics contain epinephrine, which is used in preventing rapid dissipation of the anesthetic by constricting the blood vessels at the site. This perhaps may prevent good clot formation. People who smoke also are predisposed towards dry socket. Again, this may be because of the constricting effect of nicotine and tar products on the blood vessels.

    Rinsing the mouth within a few hours of extraction may flush the clot out of the socket. Using a straw may have a similar effect. That is why post-operative instructions urge the patient not to smoke, rinse or use a straw for at least a day. Unfortunately, there is no sure way of guaranteeing that a dry socket won’t occur, but there is some evidence that placing a small piece (quarter of a square inch) of gel foam (a clotting agent) covered with tetracycline powder (an antibiotic) in the socket after the extraction can reduce the chance of a dry socket. This will be absorbed over a few days and has not been shown to induce allergies or have any other effect on the patient.

    Fortunately, dry socket is a relatively easy condition to treat. For more information, please do not hesitate to call us.

  • Reduce Swelling And Pain

    We may give you a plastic ice pack to apply to your face on the way home. A cold compress helps reduce swelling. Apply either a cold compress or a cold, moist cloth periodically. Switch to moist heat (a warm wash cloth) 24 hours after oral surgery.

    Check with me regarding how often and how long to use a compress. I may prescribe medication to prevent infection and control pain. Carefully follow the instructions. If you experience severe pain, swelling, bleeding, fever, nausea or vomiting, contact us for advice and assistance.

  • Proper Oral Care

    Your mouth should be gently rinsed (not vigorously) with warm salt water the day after oral surgery. Add ½ teaspoon salt to one-cup warm water. Be sure to rinse after eating to keep food particles out of the extraction site. Brush your teeth twice daily with a soft-bristled toothbrush. Brushing your tongue is also advised to eliminate bad breath and the unpleasant taste that often accompanies oral surgery.

    Floss at least once a day, too. Follow the instructions carefully after dental surgery. Contact us if one of the following occurs: Numbness doesn’t subside within a few hours, You experience Nausea or Vomiting Or if you have severe pain, bleedng, swelling or fever in the wisdom tooth extraction area.

  • Protect The Blood Clot

    A blood clot should form in the wisdom tooth extraction site; this needs to be protected for proper healing. Healing is a delicate process and requires the restriction of certain activities; otherwise the blood clot can be dislodged.

    You should AVOID the following:

    • Sucking or blowing motions,
    • Smoking,
    • Drinking through a straw for 24 hours,
    • Rinsing your mouth vigorously,
    • Mouthwash (until your oral surgeon approves its use),
    • Cleaning teeth next to the extracted site for the rest of the day,
    • Strenuous exercise for 24 hours,
    • Hot liquids or
    • alcoholic beverages.
  • Proper Care For Bleeding

    To limit bleeding after oral surgery, the doctor may place a gauze pack on the wisdom tooth extraction site. This should be left in place for 30 to 45 minutes after leaving the office. Bite down on the gauze, but don’t “chew” on it. Bleeding might continue after the pack is removed.

    If it does, we recommend you follow these instructions:

    • Form a thick pad from clean gauze;
    • Dampen it and place the pad directly on the wisdom tooth extraction site,
    • Apply some pressure by firmly biting on it for about 30 minutes,
    • Replace the pad with a clean one if it becomes soaked with blood,
    • If heavy bleeding continues, call your oral surgeon,
    • Avoid sucking on the wisdom tooth extraction site.

Prenatal Concerns

  • Pregnant Women And Gum Disease

    Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after their pregnancy. This is often seen as being a “normal” side effect of being pregnant. However we feel that dental disease, which is an infection of the teeth and/or gums, is not “normal” for any patient.

    There are three basic events that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease. Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugars and acids more often. Third, cravings for “junk foods” and inadequate oral hygiene pose an increased threat to the teeth and gums.

    Pregnant women in the Hollywood area are advised to schedule a dental evaluation and receive preventive dental care at our dental office. Personalized oral hygiene will be given to fight disease and promote overall good health for the mother and her baby.

Preventive Dentistry

  • Prevention Of Tooth Decay

    Fluoride, in proper dosage, has been shown to significantly reduce. When fluoridated water has less than the ideal amount or is not available, fluoride supplements are recommended. (A call to your local water district is all that is necessary to determine whether your water has fluoride or not.)

    When supplements are needed, the administration of fluoride supplements should begin shortly after birth and continue through the time of eruption of the second permanent molars (approx. 12 years of age). Regular dental check-ups should begin no later than three years of age.

  • Periodontal Gum Disease Is Silent And Deadly

    Periodontal disease can go on for years without pain and without detection unless specific examination procedures are performed. Visual oral examination by itself (even by a dentist) will not reliably detect periodontal disease until it has reached an advanced stage. Early detection and adequate diagnosis require measurement of pockets (the crevice between the tooth and gum) with a periodontal probe.

    At our dental office, effective prevention and treatment is available, but the damage caused as the disease progresses is irreversible. Early detection by our doctors and treatment is critical to prevent tooth loss and disfigurement. Although the procedure is simple, painless and requires only a few minutes, millions of American adults have never had it done. Some signs of periodontal disease are: bleeding gums, redness of gum tissue, swelling of gums around the teeth, breath odor, receding gums, and mobility of the teeth.

  • Dry Mouth And Seniors

    More seniors today in the Hollywood area have retained their own teeth, avoiding the trauma of removable dentures. Many are on medications creating dryness of the mouth as a side effect. Without the natural benefit of saliva to decrease bacterial action, we are seeing an increase of cavities on the root surfaces of these patients. 

    Anyone on a medication causing a dry mouth effect should be encouraged to visit their dentist for regular dental cleanings and topical fluoride rinses. If you have any questions or concerns, please feel free to call.

  • Treatment For Dental Crisis

    Many people don’t see a dentist on a regular basis. They go only when they feel they have a problem.While these patients may feel they are saving money, it usually ends up costing much more in both dollars and time. The reason for this is that most dental problems don’t have any symptoms until they reach the advanced stages.

    An example is tooth decay. At dental offices, we hear all the time, “Nothing hurts… I don’t have any problems”. But tooth decay doesn’t hurt! Until, that is, it gets close to the nerve of the tooth. Then a root canal and crown are usually necessary, instead of the small filling, which could have been placed several years ago when the cavity was small.

    We can usually detect a cavity 3-4 years before it may develop any symptoms. It is not uncommon to see a patient with a tremendous cavity and they have never felt a thing!

  • Pregnant Women And Gum Disease

    Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after their pregnancy. This is often seen as being a “normal” side effect of being pregnant. However we feel that dental disease, which is an infection of the teeth and/or gums, is not “normal” for any patient.

    There are three basic events that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease. Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugars and acids more often. Third, cravings for “junk foods” and inadequate oral hygiene pose an increased threat to the teeth and gums.

    Pregnant women in the Hollywood area are advised to schedule a dental evaluation and receive preventive dental care at our dental office. Personalized oral hygiene will be given to fight disease and promote overall good health for the mother and her baby.

  • Severe Gum Disease Can Instigate Joint Replacement Infections

    We strongly recommend a thorough dental examination for determining the presence of tooth and gum infection prior to joint replacement. Periodontal disease is a commonly occurring oral infection of the adult population (80% of adults are affected) destroying the bony support of the teeth.

    This infection slowly progresses over the lifetime of the patient and is often manifested in the advanced stage in the senior population. Because of the lack of any discomfort to the patient until total loss of bony support to the teeth, many adults are unaware that they have this infection until they visit our office. However, the bacteria from this bone destroying disease, especially in the more advanced cases, has been attributed to possible infection of joint replacements.

    Candidates for joint replacements who have not been seen by us in over a year should consider a thorough dental evaluation of their teeth and gums before surgery. Depending on the severity of the infection, treatment of gum infections and tooth abscesses may take from two weeks to two months before the patient reaches adequate health before surgery.

  • Decayed Baby Teeth – We Can Help!

    The Signs and appearance of teeth displaying bottle caries are brown teeth with fragmented edges and upper front teeth that break easily. Children who have erupted teeth or are past the age to be weaned are highly susceptible to rotted front teeth when being put to bed with a bottle containing milk, juice or other sugar-containing liquids.

    There is decreased salivary flow during sleep and clearance of the liquid from the teeth is slowed. The liquid pools around the upper front baby teeth and creates an excellent environment to promote the growth of decay-causing bacteria. Removing the bottle before the first tooth appears and wiping the child’s gums and teeth with a soft cloth before being put to bed can help prevent decay.

  • Plaque – A Visible Dental Problem

    One of the easiest problems to spot is the build-up of plaque. Plaque is the soft, sticky layer of bacteria, which is constantly forming on the teeth. Usually it is invisible to the naked eye, but when a person is not brushing adequately, it can build up to where it appears to be a thick whitish coating on the teeth at the gum line. If not removed, it can lead to gum disease.

    Another potential problem, which is very easy to spot, is missing teeth. Many patients we see assume that if they are still able to eat, they are O.K. But very often, losing just one tooth can lead to the loss of support, and teeth begin to drift into the empty space, causing a change in the bite. It also forces the remaining teeth to carry an additional load, sometimes past their ability to adapt. In most cases, when even one tooth is lost, the remaining teeth suffer and are more likely to be lost as well.

  • Dental Decay And Cavity Prevention

    Fluoride has been a great benefit to patients of all ages in helping prevent dental decay, so regular brushing and flossing lower the chances of developing “cavities.” We know that the most decay-prone areas of teeth are the grooves and depressions on the chewing surfaces of the back teeth, which require further preventive care.

    To prevent decay, a plastic-like coating called a sealant should be painted on the chewing surfaces of all the back teeth. Studies have shown that sealants can reduce tooth decay by as much as 90% to 100% in the Hollywood area and nation wide. The American Dental Association recommends that sealants be placed as soon as the first adult back teeth come in at age 6 or 7.

    Sealants should continue to be used as each adult back tooth comes into the mouth. All back teeth that need to be sealed are present by age 13. Sealant application is simple, fast, and painless.

  • The Effect Of Diet On Dental Health

    Diets low in certain nutrients reduce resistance to oral and dental infections, that is, periodontal disease (gum disease) and decay. We feel a healthy immune system is essential to controlling periodontal disease. Counseling in the Four Basic Food Groups will improve dental and general health.

    The consumption of sugar, especially in sticky forms or in a baby bottle while sleeping, contributes to the rapid development of dental decay. The trace nutrient fluoride, may not be adequately supplied by bottle or municipal water supplies throughout the Hollywood area.

    Supplementation with oral tablets and topical application will reduce the incidence of dental decay by more than 60%. Together, a balanced diet, daily use of fluoride, effective brushing, and sensible eating habits can reduce the risk of, or even prevent, infectious dental disease.

  • Mouthguards – Uses and Types
    “What are Mouthguards?”

    While mouthguards are not mandatory equipment in all sports, their worth is indisputable. Mouthguards cushion blows to the face and neck. A mouthguard should be part of every athlete’s gear, no matter the sport. Even adults or weekend athletes need to protect their smile and preserve their health. You should wear a mouthguard at all times when playing sports.

    Wear a mouthguard custom-fitted by a dentist, especially if you wear bridges or braces. Don’t wear removable appliances like retainers when playing sports. There are two types of mouthguards – The Custom Made and The Ready Made. The Custom Made are designed by a dentist and made on a cast of your teeth.

    These cause very little interference with speaking or breathing. They provide the best protection and fit over braces and fixed bridges. They also cost more. The Ready Made can be purchased at most sporting goods stores. They are the least expensive, the least effective, and least comfortable, but as we say “It is always better than nothing”.

Root Canal

  • Signs of Endodontic Disease

    Endodontic disease can manifest itself with a wide variety and combination of symptoms. Common symptoms of endodontic disease include: Lingering sensitivity to cold liquids,

    • Lingering sensitivity to hot liquids,
    • Sensitivity to sweets,
    • Pain to biting pressure,
    • Pain that is referred from a tooth to another area (such as the neck, temple, or the ear),
    • Spontaneous toothache (such as that experienced while reading a magazine, watching television, etc),
    • Constant or intermittent pain,
    • Severe pain,
    • Throbbing pain,
    • Pain that may occur in response to atmospheric pressure changes (such as when flying or scuba diving),
    • Pain that may occur in response to postural changes (such as when going from a standing to a reclining position) and
    • Swelling.

    If you have any of these symptoms, it would be wise to visit us because you might have root canal disease or another dental problem. Some of these symptoms may also be attributable to decay, defective fillings, periodontal disease, cracked teeth, or other tooth or bite-related problems. On other occasions, the symptoms may even be caused by disorders that are not related to the teeth.

  • Root Canal Reasons
    “Why would you need a root canal procedure?”

    Many people flinch when their dentists tell them they need root canal therapy. While dentists are sympathetic to fears of pain, we also want you to know that root canal therapy has three purposes:

    • Stop the toothache,
    • Prevent bacteria and pain from spreading into the jaw, and
    • Maintain the original tooth instead of replacing it with a denture or bridge.

    The root canal is actually a channel that runs from the root of the tooth, which connects to the bone, up to the top surface of the tooth. The canal contains blood vessels, nerves, and the complex cells that make up the living tissue inside the tooth. This lifeline inside the tooth is called the pulp.When a tooth is decayed or cracked, bacteria can get to the pulp. 

    The acid from the bacteria irritates the pulp and it becomes inflamed; it’s the same process you watch when other parts of your body become infected. When the pulp tissue becomes inflamed, it’s harder for blood to flow to the tissue, and the resulting pressure is what creates pain inside your tooth.

Senior Dental Care

  • Can I Replace A Missing Tooth Using Dental Implants?

    Losing a tooth by accident or by extraction is not the end of the matter. When a tooth is missing, the resulting gap will allow nearby teeth to tilt or drift from their normal position, and the teeth above the gap will move downward. Aside from the obvious cosmetic problem, the changed positions of these teeth can lead to severe bite problems causing jaw pain and headaches.

    Missing teeth should be replaced to keep other teeth in their normal position. This can be done by our doctors with a fixed bridge or a dental implant. Both of these treatments offer a good functional and cosmetic result. Please call our office with any questions you may have regarding the benefits of replacing missing teeth with bridges or dental implants.

  • Tooth Loss And It’s Impact On Total Health Of Seniors

    In the past, the loss of teeth was dismissed as a natural part of the aging process in the Hollywood community area, and dentures were considered a normal sign of old age. While such ignorance is rapidly becoming a thing of the past, there is still a lack of general awareness of the seriousness of edentulism.

    Multiple tooth loss is most commonly caused by periodontal disease, i.e. gum and bone disease. Periodontal disease has a high statistical correlation with chronic debilitating disease, such as diabetes, cardiovascular disease and arthritis.

    So, it is not very surprising that studies now show a shortened life expectancy by as much as 10 years for persons nationally, and in the Hollywood area, who have lost their natural teeth, when compared to those who have kept their teeth.

  • Denture Related Problems

    Many denture wearers in the Hollywood area breathe a sigh of relief when they get their first pair of dentures because they think their dental problems are over. What they soon realize, however, is that they have just traded some old problems for new ones.

    Even the best dentures can’t compete with natural teeth in ability to chew food efficiently and comfortably. As the years go by, the supporting ridges that remain after teeth have been removed gradually change and get smaller.

    We believe that for most patients, their dentures need to be “relined” or “refitted” every 2-4 years so that the denture will conform to the changing ridge. A large change in weight can also alter the shape of the mouth, causing changes in the fit.

  • Mouth Complications Related To Cancer Treatments

    Each year about 400,000 people (including many in the Hollywood area) with cancer develop treatment-related complications in the mouth ranging from lesions to chronic dry mouth to bone disintegration. If serious, these complications can be life threatening. While many are unavoidable, some can be prevented or minimized by us.

    We recommend that whenever possible, a pre-therapy dental evaluation with a full set of mouth x-rays be performed. Any decay, gum disease and abscesses should be treated, if time permits, prior to chemotherapy and/or radiation therapy. Even patients who have no pain or dental disorders need a thorough cleaning. Our goal is to have the patient’s mouth in optimal health prior to beginning anti-cancer therapy. If you have any questions or concerns, please feel free to call.

  • Xerostomia – Dry Mouth

    Dry mouth problem is common in the Hollywood area. The lack of adequate saliva is more than bothersome for three out of every ten Americans. When the natural flow of saliva is reduced, you can experience trouble swallowing, pain throughout oral tissues and, nearly always, a short-cut to dental caries and gum disease.

    The tongue sticks, food doesn’t have much taste, and digestion suffers. We knows that Xerostomia, or dry mouth syndrome, can come with aging, or often as a side effect of many medications. Half of cancer patients undergoing chemotherapy experience an extreme form of xerostomia, with critical effects on their dental health.

    We can help provide relief in the form of prescriptions for dry mouth toothpaste, special saliva-producing chewing gum, or saliva substitute solutions.

  • The Cause Of Burning Mouth In Seniors

    Burning mouth usually occurs in individuals over 50, but can affect others as well. There are several reasons why it occurs.

    1. Denture Problems: a new denture, or one that doesn’t fit well, can irritate your entire mouth.

    2. Reduced Salivary Gland Function: We know that this will cause the mouth to become dry, inviting oral discomfort, difficulty eating or swallowing, loss of taste, and a burning mouth. Salivary gland dysfunction sometimes comes with age.

    3. Medications: these often dry the mouth (side effects).

    4. Vitamin Deficiency: there is some evidence linking burning mouth syndrome to Vitamin B deficiency.

    5. Candida Infections: this is a common oral fungus, usually apparent to the eye but sometimes undetectable. We can prescribe a topical anti-fungal agent that can help the problem.

Teeth Whitening

  • What is the safety of teeth whitening?

    Research over the last five years has proven bleaching to be both safe and effective. The American Dental Association’s seal of approval has been given to a wide range of tooth whitening products. Generally, the only side effect from treatment may be some sensitivity to hot and cold foods. If this occurs, sensitivity normally disappears within 48 hours.

    In a study published in the April 2005 Journal of Antimicrobial Agents and Chemotherapy, researchers at the Boston based Forsyth Institute confirmed for the first time that a short exposure to UV-free blue light from the proprietary BriteSmile tooth whitening procedure killed four major bacteria implicated in gingivitis and periodontal disease.

    The findings are the first to confirm the disease fighting ability of the blue light component of the patented procedure, and add to a growing body of clinical evidence on the health benefits of phototherapy in treatment and prevention of gum disease. Please do not hesitate to call us regarding any questions you may have about the benefits of teeth whitening or teeth bleaching for a whiter smile.

  • What steps can I take to achieve a brighter smile?

    Your dentist will first examine your teeth and gums and discuss the procedure best suited to your individual needs. Any cavities or gum problems must be treated before bleaching can begin. The in-office method generally takes one to three hours and results in an immediate noticeable change. After completing the treatment, your teeth will be checked by your dental provider to discuss the results. Smile! Your teeth will radiate a bright new look!

Temporomandibular Joint Disorder

  • TMJ Disorder And Headaches

    One out of every 10 Americans suffers from chronic headaches and they spend over half a billion dollars every year for over-the-counter medications to relieve their pain. They never imagine that their headaches may be caused by TMJ, and that their pain is the result of a bad bite. We know a bad bite can put your jaw-to-skull relationship out of alignment. When this happens, TMJ symptoms occur.

    This cluster of symptoms can include: headaches, earaches, ear ringing, loud jaw clicking, even stiffness and pain in the jaw, neck, shoulders and back. This cluster has puzzled doctors in the past. Now we can put a name to it: TMJ. According to recent studies, more than 40 million Americans (including many in the Fort Luderdale areas) suffer with TMJ (Temporomandibular Joint Dysfunction) or MPD (Myofascial Pain Dysfunction).

    The good news is that we are taking the lead in finding solutions. If you, or someone you love, suffer from the symptoms of TMJ, set up an appointment by calling us soon. You may find that TMJ is the missing piece in the puzzle — and that the treatment works!

  • TMJ Disorder Treatment

    Proper diagnosis is critical to make sure you receive treatment for your particular condition. We will only recommend treatment after conducting a thorough health history, clinical exam, taking appropriate X-rays, and perhaps confirming the condition through other diagnostic tests. We may prescribe a multiple-phase treatment plan. Only minor corrective treatment may be needed. Treatment may be simple or require more steps for alleviating the condition, depending on the degree of severity. Some of these treatments include:

    1. Taking a non-aspirin pain reliever or prescription medications such as muscle relaxants, analgesics, or anti-inflammatory drugs.

    2.Eating soft foods

    3.Avoiding chewing gum

    4.Applying moist heat or ice

    5. Physical therapy

    6. Teaching relaxation techniques to control muscle tension

    7. Stress management training techniques

    8.Posture training

    9. Wearing bite plates to eliminate the harmful effects of clenching or grinding the teeth, and a better positioning of the jaws

    10. Adjusting the bite, known as “occlusal equilibration” involving removing interferences when the teeth touch

    11. Replacement of defective restorations that prevent the jaws from meeting properly

    12. Orthodontics, to put the teeth in proper position

    13. Surgery In most cases we treat the symptoms related to TMJ disorders. It can be successfully treated to reduce or eliminate your discomfort. Postponement of treatment usually results in more damage to the joint, muscles, or teeth.

  • Symptoms Of TMJ

    1. Jaw pain or soreness, more noticeable in the morning or afternoon.

    2. Jaw pain while chewing, biting, or yawning.

    3. Earache without an infection, sometimes spreading into the face.

    4. Soreness in front of the ear.

    5. A clicking or grinding noise while opening and closing your mouth.

    6. Difficulty opening and closing your mouth.

    7. A stiff jaw when eating, talking, or yawning.

    8. Sensitive teeth without any signs of dental problems.

    9. Aching on the side of the head and neck pain.

    10. A burning sensation in the mouth/tongue.

    11. Grinding of your teeth.

    12. Restricted range of jaw movement or “locking” of the jaw in an open or closed position.

    A thorough dental examination is the first step toward finding a solution. Depending on the diagnosis, treatments may include reshaping teeth, bite guards, and muscle relaxants.

  • TMJ Disorder Causes

    The exact cause of the disorder is unknown. Some factors are related to an improper bite, injury, arthritis, severe stress, or a combination of factors. Clenching or grinding teeth, a condition called bruxism, may develop from stress or as part of a sleep disorder. This can tire muscles and create painful spasms, causing even more pain. Repeated muscle problems may affect the joints, resulting in tissue damage, muscle tenderness, and more spasm, perpetuating a cycle of pain.

Veneers

  • Veneers For Natural-Looking Teeth

    When teeth require significant changes in their shape or contour, veneers may be the answer. By placing veneers, small or misshapen teeth can be built up to regain a more natural appearance, spaces between teeth can be closed by making the teeth wider and teeth that are too short can be lengthened. The veneer is actually a thin piece of porcelain similar in size to a fingernail.

    Once it is “bonded” onto the tooth it becomes extremely strong. We also blend the veneer in with the remaining tooth structure so that it is unnoticeable to the naked-eye. Once in place, it looks, feels, and functions just like a regular tooth.

    We can use porcelain veneers to change the shape and color of a single tooth or, if necessary, revamp an entire smile. Porcelain veneers can also be used to correct teeth that have been worn from clenching and grinding. Please feel welcome to call us if you have any more questions about Veneers.

  • Veneers For Discolored Teeth

    There are many situations that arise that lend themselves to treatment with veneers. One indication is for restoring teeth with discoloration that have been unaffected by the more conventional tooth whitening approaches, such as bleaching. Some examples of this are teeth that have severe tetracycline (an antibiotic) staining or discoloration from a previous injury to the tooth. Veneers are considerably more durable and stain-resistant than bonding.

  • Porcelain Veneers

    A porcelain veneer requires a longer treatment time. At the first appointment, your teeth are prepared and an impression is made of them. Temporary veneers are made out of plastic and placed on your teeth. They are used to protect your teeth while the real porcelain veneer is being fabricated. You can also use them to evaluate the look and feel of your teeth so that any changes you desire can be incorporated into your real veneers.

    At the second appointment, the doctor removes the temporary veneers and bonds the porcelain veneer to your teeth. Once the dental veneers are cemented, color alteration is no longer possible. Dental cement is applied between the dental veneers and tooth. Although they are thin, a porcelain veneer is much stronger than the composite veneer, so the risk of fracture as compared with composite veneers is much less. However, if a fracture does occur, repairing it is more difficult and may result in the veneer having to be remade.

    In general, the porcelain veneer can be used in a greater variety of situations with a higher level of predictability. Since they are made outside the mouth, the shape and color can be easier to control, thus enhancing the final result. Once teeth have been veneered, they will require periodic treatment and regular visits to the dentist. The result is a beautiful and long lasting smile you will love!

  • Composite Veneers

    The major advantage of the composite veneer is treatment time. If composite is used, the veneers can be done in one appointment. The dentist will actually make the veneer directly on the prepared tooth. The veneer is then smoothed and polished to look like your natural teeth.

    Since it takes only one appointment, you can leave with a brand new smile. One of the disadvantages of composite veneers is that they are not as strong as the porcelain veneer and therefore are more prone to fracture. However, if a fracture does occur, they can be easily repaired because the same material that was used initially to make the veneer can be added in the same manner to fix it. 

    Another disadvantage is that the color, although stable, is not as stable as the same porcelain veneer restoration. This means that over time the veneers may get darker or turn yellow. Eventually this change in color can warrant the replacement of the veneers.

Wisdom Teeth

  • Partially Visible Wisdom Teeth

    Partially visible wisdom teeth in Hollywood are susceptible to bacteria that can cause wisdom tooth infection. Cysts and tumors can grow on a trapped wisdom tooth, causing irritation and some pain as well as diseases of the gums. Another problem we often see occurs when the second molar, the last tooth before the wisdom tooth, is damaged as the wisdom tooth grows in without enough room.

    The younger the patient, the easier the healing will be, which is another reason not to wait before removing impacted wisdom teeth. This oral surgery is often performed in the office under anesthesia, providing patients with maximum comfort while keeping the procedure efficient and cost-effective.

    Local anesthetic (such as novocaine) is always used, but you may opt for additional comfort with nitrous oxide (“laughing gas”), IV sedation (twilight sleep) or deep sedation (general anesthesia.)

  • Wisdom Tooth Removal

    We can provide guidance whether you’re a candidate for wisdom teeth removal (extraction). The bottom line is that wisdom teeth most often don’t fit well in our mouths and they can cause other teeth to move or lead to gum disease or bone problems. Ask us to make an evaluation and suggest the best course of action.

  • Why are wisdom teeth removed?

    Wisdom teeth usually appear in young adults between the ages of 15 and 25. Some wisdom teeth will grow in normally; others are “impacted.” An impacted wisdom tooth allows no room for the rest of your teeth to grow.

    We use X-rays to evaluate whether your wisdom teeth have any chance of coming in properly and can advise you on the best time to have wisdom tooth removal. When there is no room for wisdom teeth to come in properly or when the teeth haven’t reached their permanent location by age 25, then they’re considered to be impacted wisdom teeth.

    We recommend removing the tooth early, before wisdom tooth and other dental complications can develop.