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Patient Comfort and Care
Your comfort is always our primary concern. We are very open to your special requests and realize that your dental needs are unique to you and are like no one else's. Because of this we have a very strong program of individualized dental care. Our warm and friendly staff will make your dental visit as comfortable as possible. Many of our clients enjoy conversing with us during their visit, but we realize that you may be interested in tuning out with our personalized headphones and virtual vision eye glasses (watch a movie). Also, if it becomes needed we will utilize the use of Nitrous Oxide to further your comfort level during dental procedures.
We offer a full range of cosmetic dental services that are attractive, long lasting, and functional:
- Full range of the latest cosmetic dentistry services
- Including porcelain veneers, tooth colored restorations and bonding
- Tooth Whitening (Bleaching)
- Thorough smile evaluation which may include
- Listening to your concerns and expectations
- Discussion of all treatment options
- Using photographs study models and intraoral camera
- Ability to provide "before" and "after" views to help you visualize the different treatment options
- Our ideal end result should be a natural healthy younger smile!
Your satisfaction is our goal, and we will do all we can to Keep You Smiling. If you have questions now please call us at (949) 552-6334, or e-mail us at Office@NiceDentist.com.
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Our primary restorative goal is to return the look and function of your teeth to a natural state.
- Restoring a natural tooth
- Includes fillings, crowns and onlays (half crowns)
- End result should be a long lasting natural looking tooth
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- Also known as 'braces'
- Moving teeth into their proper position
- Can be done at many different ages
- Clear 'invisible' and porcelain braces available
- Modern gentle high tech wires make treatment easier and faster
- 'Before' and 'after' 3 dimensional tooth models give a preview of the final result
- Can be combined with other cosmetic dental services to give optimal results
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- Permanent (non-removable) or removable tooth replacement
- This includes bridges, implants, partial dentures and full dentures
- Many options are possible and we will discuss each with you
If you have questions now please call us at (949) 552-6334, or e-mail us at Office@NiceDentist.com.
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TMJ Pain or Syndrome
- Now known as the Temporomandibular Disfunction
- This is the hinge joint of the lower jaw located near your ear
- This joint can become overloaded and refer pain to other areas
- Can cause pain to the teeth or head (headaches)
- Treatment can be simple or more involved depending on cause
- Early treatment should reduce pain and minimize future more involved treatments
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- Preventive resin restorations
- Oral hygiene instruction
- Preventative (Interceptive) orthodontics
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- Children's dentistry
- Emphasis on prevention and making visit fun
- Use sealants on primary teeth to prevent decay
- Keeping child decay free will be better and less costly in the future
- Growth patterns and eruption of permanent teeth can be predicted
- Usually permanent teeth can be guided in straighter
- Guiding in permanent teeth can minimize future orthodontic costs
- Healthy teeth and gums during childhood will set good oral hygiene habits and is the best way to achieve healthy teeth as an
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Referral to Specialist
- Our primary goal is to provide you with optimum dental care
- Occasionally referral or consultation to a medical or dental specialist is required to treat some cases optimally
- Fortunately some of the areas top specialist are located in the local area
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Worried about Bad Breath?
Where does bad breath come from?
Bad breath is not contagious and you cannot catch it from someone else. Also, chronic bad breath (Halitosis) does not come from the stomach. The only stomach odor that someone smells occurs when you burp. Certain foods like garlic and spicy foods once absorbed into the body can release odor through the lungs when you breathe. This food odor is transitory and should not be confused with bad breath. Air flow exhaled through the nose of someone with bad breath does not have an offensive odor, only air flow exhaled through the mouth. Because our sense of smell has the ability to adjust to odor most people with halitosis are not aware of their bad breath. Nearly all bad breath originates from the mouth, mostly from the surface of the tongue, below the gum line, between the teeth and other hard to reach areas. The mouth is normally inhabited by bacteria and the balance between the different kinds of bacteria determines the quality of your breath. The odor causing bacteria are anaerobic which means they cannot live in the presence of oxygen. These anaerobic bacteria inhabit the surface of the tongue by residing between the papillae of the tongue which is oxygen deficient i.e. they live "within" the tongue. These bacteria cannot be removed completely with a tongue scraper and will recolonize the mouth following antibody therapy. These naturally occurring bacteria feed on proteins (oral debris) and produce volatile sulfur compounds (vsc) as a by-product of metabolism causing the malodor of bad breath. Everyone has some level of vsc in their mouth, but it is at a low level that cannot be detected by the nose. When these levels of vsc gets high it becomes detectable as bad breath. Halitosis is rarely associated with certain medical conditions e.g. diabetes. If the onset is sudden, grows noticeably worse over a short period of time and is associated with fever, see a doctor.
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What are the factors which cause excessive VSC to be produced?
Anything that decreases the flow of saliva or stimulates the growth of anaerobic bacteria.
Saliva irrigates the mouth, stimulates swallowing thereby flushing away debris. Morning breath occurs due to decreased salivary flow during sleep. The decreased amount of saliva during sleep creates a lowered oxygen level and limits washing action which provides a more anaerobic environment for bacteria to produce sulfur compounds. This oral stagnation is more pronounced in mouth breathers and those who snore. Alcohol and even certain mouthwashes containing alcohol can dry the oral tissues causing bacteria to proliferate. Certain medications for high blood pressure, antihistamines and depression can decrease saliva flow. Dehydration and stress also reduce the flow of saliva.
These anaerobic bacteria breakdown proteins as the start to digestion, and produce these sulfur compounds as a by-product. These proteins come from oral cellular debris (poor oral hygiene), dead bacteria, saliva, food debris, mucous, post nasal drip and phlegm. Certain conditions cause these bacteria to produce VSC at an unusually rapid rate. Also, certain types of foods may promote VSC production, such as foods high in protein or dairy products, especially if you are lactose intolerant. Numerous antibiotics or sulfa-drugs upset the balance of bacterial flora causing some to proliferate and others to perish. An important factor in bacterial growth is the pH of the mouth. Bacteria reproduce faster in a more acidic environment. Coffee and acidic foods increase acidity. Hormonal changes have even been implicated with bad breath. During menstruation, estrogen causes sloughing of body lining tissue including that of the mouth. This gives additional nutrition for anaerobic bacteria. Then there is the luck of the draw....your genetics. We all have a different tongue morphology. The more fissured the tongue, the greater the anaerobic environment and the higher the level of VSC.
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How do I know if I have bad breath?
- Lick the back of your hand. Let it dry for a few seconds and then smell. If you notice and odor, you have a breath disorder.
- Place dental floss between your back teeth and then smell the floss.
- While looking at the mirror, grab the tip of your tongue with a Kleenex and pull it out as far you can. If you see that the very
back of your tongue is whitish in color, it may be a sign that you have bad breath.
- Ask the opinion of someone you can trust. Check your breath several times daily because your breath changes throughout the day.
What is the truth about mouthwashes, breath mints and breath capsules?
Approximately 40 million Americans suffer from halitosis, otherwise known as chronic bad breath. They cover up the odor and do nothing to treat the cause of bad breath. Each year over a billion dollars is spent on over-the-counter products that do not eliminate bad breath but merely mask it for only a few hours. Some even make the problem worse. Alcohol based mouthwash dries out the oral tissue and can worsen the condition.
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How do you treat bad breath?
As the anaerobic bacteria which cause bad breath reside within the tongue itself it is impossible to remove these bacteria completely by brushing or using a tongue scraper alone. Scraping the surface of the tongue may remove excessive VSC (a whitish film) that have surfaced to the top of of the tongue. Although bad breath is not necessarily an oral hygiene problem, it is important to brush and floss to maintain oral health. Maintain regular professional cleanings especially if you suffer from Periodontal Disease (gum disease). Broken down diseased tissue is bacterial nutrition. It is important to know that most toothpaste contains sodium laryl sulphate which is used as a foaming agent. This is actually a detergent which dries out the mouth even more. To effectively treat bad breath, the level of anaerobic bacteria and the amount of VSC produced needs to be reduced and or neutralized.
What products reduce anaerobic bacteria and neutralize the VSC of bad breath?
As ph is important, the product used needs to have a neutral or slightly basic ph. As the bacteria thrive in an anaerobic climate, the incorporation of an oxygenating complex would be advantageous. An oxidizing agent is needed to neutralize the volatile sulphur compounds from the active sulfite to an inactive odorless, tasteless sulfate form. The active ingredient is chlorine dioxide. Chlorine dioxide besides neutralizing vsc is also an antimicrobial agent.
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Bad Breath in summary:
- Brush and floss using a chlorine dioxide toothpaste (avoid toothpaste containing sodium laryl sulphate)
- Use an oral mouthwash containing chlorine dioxide (gargle as well)
- Use of a tongue scraper to remove any white coating as far back as you can.
- Regular professional cleanings.
- Drink lots of water!!
Products currently available which claim to neutralize vsc include Breath Remedy, BreathRx, CloSys11, Oxyfresh, Profresh and Therabreath
These products do not foam like regular toothpaste and do not contain minty flavoring agents. They are bland tasting and some may even find it unpleasant tasting, but they do appear to work. Profresh is the only product that contains the active form of chlorine dioxide. The others contain a stabilized form of chlorine dioxide which needs an acidic environment to break down to the active form. Some question their efficacy, while others indicate that Profresh is overkill. Oxyfresh is the only one that contains sodium laryl sulphate(a foaming agent-like regular toothpaste) which some say may dry out the mouth. There is inadequate research at this time to indicate any product superiority and it is recommended that you try the different products until you find the one that work best for you.
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There are a number of different ways to whiten teeth. There are two main choices. One is professional bleaching which requires visiting a dentist and the second is over the counter whitening i.e. buying it from a retail store.
The Dentist has 3 different ways to bleach teeth:
- Chair side bleaching, which involves getting your teeth, bleached in usually a single dental visit.
- Dentist supervised at-home-whitening where the dentist takes moulds of your teeth and fabricates custom-made bleaching trays, which you use at home with a professional strength-bleaching agent.
- Purchase Professional strength Crest Whitening Strips. This is the same as the strips you can buy in retail stores but it is a professional strength and therefore more effective.
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Chair side bleaching can be done in two ways. The dentist uses a very strong bleaching agent alone or in combination with a light/laser. With both, the dentist cleans your teeth with a sandy, pumice-like material to remove plaque and cleans the surface of the tooth. Then a peroxide-based gel is applied after which a light may be applied to assist the whitening process. Some gels are self-activating and others are activated and by the use of a light. The laser does NOT whiten teeth. It merely activates the bleaching gel and initiates the chemical reaction that produces the whitening effect (the laser doesn't actually penetrate the teeth). The procedure takes about an hour and a half and offers immediate results, although it may take more than one session to achieve the desired level of bleaching.
The at-home bleaching method requires a visit to your dentist for an exam to make sure that you don't have any cavities or cracks into which the bleaching solution could leak and cause tooth damage, and to get fitted for a mouth tray. You will fill the tray with a bleaching gel provided by your dentist and wear the combination either overnight or hourly depending on the strength of the bleach dispensed. The most effective way to whiten teeth is to see a dentist.
There are over-the-counter options available for tooth whitening. However, because they are intended to be used in an unsupervised fashion, to avoid the potential for serious damage to the teeth and gums the bleaching agents they contain are significantly weaker than those that can be obtained through a dental professional. Therefore, the results you might expect from these products are significantly limited as well. Without custom-made trays, the whitening mould is large and uncomfortable. Also the whitening gel is not confined to the mould and tends to go everywhere. A recent popular option is the crest whitening strips which may be a better option for those who don't want to wear a cumbersome mould.
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No matter which method you choose, how white your teeth will get depends on what color they are to begin with and the source of the discoloration. Brown or yellow teeth (often the result of superficial staining caused by smoking, coffee, and tea) will usually get four to five shades whiter. Gray teeth (caused not by stains but by pigment deep inside the tooth) will lighten less -- two to three shades at best. To determine the initial color of your teeth, compare them to a sheet of bright white computer paper held up to your mouth.
Chair side bleaching is the fastest but also the most expensive -- anywhere from $400 to $1,000 per session -- and usually requires more than one session. Take-home professional bleaching kits cost anywhere from $200 to $500, and can be used on your own schedule. Over-the-counter options, as you might expect, are the least expensive, but again, tend to have limited effectiveness. The most common side effect of any of these procedures is sensitivity to hot and cold, but that lasts only while you are using the bleach and tends to persist for 1-2 days.
If there's little chance that you'll remember to pop in a mouth tray every night, or if you are impatient to see results, chair side bleaching may be a better option for you. This method also allows the dentist to treat teeth individually, which is ideal if you have veneers or teeth that vary in shade.
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With proper aftercare, whitened teeth can stay bright for up to three and a half years. To keep your smile bright as long as possible, try these easy tips:
- Follow the "white teeth diet" Drink white wine instead of red wine, cappuccino instead of espresso, and grapefruit juice instead of cranberry juice.
- Use "whitening" toothpaste with a mild abrasive (for example: Opalescence Toothpaste, ZOOM Whitening Toothpaste and most of the over-the-counter "Whitening Toothpastes" on a daily basis.
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What's New in Dentistry?
Instead of using a conventional drill, the dentist is able to remove decay with a wand-like device that has a small opening through which minute particles are sprayed in a thin stream of air. As these particles bounce-off the tooth they are collected by a large suction hose. These same particles are commonly found in toothpaste and are harmless if swallowed. Air abrasion is commonly used on children and small shallow cavities. It emits a windy sound (unlike the noisy drill) and in numerous situations no anesthesia is required. You may however feel some coolness. Air Abrasion cannot be used for extensive work like caps (crowns), removing old silver fillings, and will require anesthesia if the decay is deep.
This allows your dentist to whiten your teeth in one or two hours using a concentrated whitening agent, which is thought to be activated and intensified, by using a special beam of light. This is very similar to the whitening offered by the much-commercialized Britesmile Whitening Centers. The cost averages around $500. Although the results are immediate, the result differs between individuals and for maintenance it should be followed up with the Take Home System. Power whitening is for those who do not want to be bothered wearing the bleaching trays. Keep in mind that whitening fades with time (6 months to 2years) and the Home System gives you the best value. Besides being less expensive ($150-$300) the home system allows you to touch up the whitening every 6 months for a night or two to keep them white. This consists of custom-made trays, which holds the whitening against the tooth either overnight or for an hour if you are using a stronger percentage of bleach. If cost were not a factor, power whitening followed up by the one-hour take home system would be ideal. Recent research has shown that the use of light, including that of the so called 'laser lights', to magnify the bleaching process has made little difference to the whitening process.
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A picture is worth a thousand words. Using a Dental Imaging system, the dentist photographs your teeth while smiling which is then immediately viewed on a monitor. Together with your dentist, you can alter the shape, color, length and proportions of your teeth with the click of a mouse. By graphically altering your teeth before beginning cosmetic treatment gives you an idea of what your new smile could look like. Be cautious as this an approximation. What changes are done on the monitor may not exactly match what the dentist is capable of creating. If the dentist does not have an imaging system you can request a diagnostic wax-up. This is a stone mould of your teeth which is cosmetically altered using tooth colored wax. Before doing any cosmetic dentistry ask to see some before-and-after photos of cases your dentist has actually completed himself.
CAD / CAM
This is a sophisticated machine which is able to manufacture your crown (cap) chair-side in a single dental appointment without having to send it to a laboratory to have it fabricated. This saves you having to wear a temporary cap for 2 weeks and makes a second dental visit to get it fitted unnecessary. Using a 3-D camera the dentist freezes an image of the prepared tooth on a computer. From the image the computer designs the crown. The computer then send a signal to a small milling machine which then cuts the cap from a solid tooth colored ceramic block. The crown is then fitted and bonded into place. It saves the dentist and you time but at $75 000 only a few dentists in the USA have one. Some opponents believe that the fit of these machined crowns are not as accurate as the conventional laboratory method.
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