Roya Arbab, DDS

Porcelain Veneers for a Flawless Smile

Some patients come to us loving their smile but wanting just a little bit more in terms of aesthetics. To perfect an already great smile, we may suggest porcelain veneers. Porcelain veneers are often our go-to tool to correct minor imperfections on the surface of teeth or spacing issues.

Porcelain VeneersHere are some frequently asked questions and answers about veneers:

Q: Are veneers heavy or thick? Will I feel them in my mouth?

A: No, in fact veneers are thinner than a fingernail, once they are in place you won’t even know they are there!

Q: How long do they last?

A: Properly installed, veneers can last from 10-20 years. A great investment for an enhanced smile!

Q: How are they attached? Can they fall off?

A: Veneers are attached to your tooth with a very strong bonding compound. They do not fall off and provide years of durable use.

Q: Do veneers look like natural teeth?

A: Porcelain is the perfect material to copy tooth enamel, as it is incorporates luster, shine and translucence to look just like your natural teeth.

Q: What if the surrounding teeth are a different color?

A: Generally what we recommend is that we use a whiter shade of porcelain for the veneer and perform tooth whitening in conjunction with the veneer process to give you a perfect match throughout your mouth.

Q: Do veneers stain?

A: No, porcelain veneers do not stain, even over time.

If you want to take your smile from “okay” to “stunning”, ask us if veneers are a good option for you!

Dental Implants: A Three-Step Procedure

One of the most common questions we hear from patients when it comes to dental implants is “Why does it take three separate procedures?”

Dental Implants - 3 StepIt helps to understand that within the entire dental implant process, there are not just three stages, there are also three important parts to the final product that replaces your tooth. First, there is the implant itself, which is the metal rod that we surgically implant into the bone. Next, there is the abutment, which connects the implant to the artificial tooth. And lastly, the crown (or prosthetic tooth) itself.

The fact that the process has three physical components alone doesn’t tell the whole story though. Here, we explain why the most commonly employed dental implant method is split up into three separate procedures.

Step One: Placing the Implant

The first stage of the dental implant process is to bury the implant in the jaw bone via a surgical procedure. The dental implant replaces the tooth root, and requires healing time. During this healing time, osseointegration (the integration of the bone with the implant itself) occurs. The bone cells actually attach to the implant rod, filling in the spaces to secure the implant in place for permanent residency.   The healing time usually takes from 3-6 months.

Step Two: Placing the Abutment

The abutment is a post that connects the implant to the prosthetic tooth. Essentially, the abutment is a bridge that spans through the gum line so that the implant itself remains buried. As with the implant, the abutment has a healing period of its own. The gum around the abutment must heal and form a cuff or collar around it before the crown can be placed.

Step Three: The Prosthetic Tooth

Once the implant site and abutment have successfully integrated, the prosthetic tooth is fabricated and installed.

If you have any questions about the dental implant process, give us a call!

Strawberries and Baking Soda for Whiter Teeth: Debunked

You may have heard the recent claim that a mixture of fruit and baking soda applied to the teeth will whiten them dramatically, inexpensively and in a much more “organic” way than traditional bleaching methods.

Strawberries and Baking SodaIn particular, young adults and teens have shown themselves to be susceptible to this advice. They readily experiment with it and spread the idea throughout their community because the materials involved are so easily accessible.

While the claim has some merit and certainly comes from well-meaning sources, we feel that we should set the record straight. New research done on the subject from Professor So Ran Kwon of the University of Iowa shows that while the mixture does brighten the smile a bit, it does so merely by removing superficial debris. So although the teeth may look whiter, the effect is short-lived. As plaque and debris build up again, the teeth will darken.

In addition to that, the fruit and baking soda mixture method may reduce the surface hardness of your teeth, leaving them vulnerable to decay.

To achieve a permanently whiter smile, what you really need is a substance that penetrates into teeth and breaks down stain molecules, whitening teeth from the inside out for better and longer-lasting results.

If you want whiter teeth, we urge you to use ADA approved methods for achieving that brighter smile!

Invisible Braces: Not Just for Looks

When most of us think of invisible braces such as Invisalign®, we naturally assume that their sole purpose is to enhance the aesthetic value of one’s smile.

Invisible BracesAnd to a certain extent that assumption is true. For most people with braces of any type, the primary goal of straightening their teeth is improving their look. But did you know that there are actually added health benefits to having a straighter smile as well?

Here, we outline just a few reasons, outside of the obvious aesthetic benefits, that invisible braces can help you:

  • Periodontal Health: Overcrowded teeth can result in swollen, red, irritated gums. More often than not, these symptoms are the result of periodontal disease. Braces help to straighten and evenly space teeth to allow for enhanced gum health.
  • Better Cleaning Access: Because the clear teeth aligners are removable, you can do a better job of brushing and flossing your teeth, just as you would without braces. By contrast, traditional metal braces limit access to the surfaces and in-between areas of teeth, making it difficult to maintain a good brushing and flossing routine.
  • Healthy Diet: Invisible braces are removable, which means that there are no restrictions to what you eat. This allows you to continue your healthy eating habits just as if you didn’t have braces at all. With traditional metal wires and braces, however, some people fall into the trap of eating only soft foods and thus miss out on much-needed nutrients.
  • Overall Health: Because oral infections are thought to be related to other health issues in the body such as an increased risk of heart disease, stroke and diabetes, keeping your teeth properly spaced and straightened is an important first step toward better health throughout your body.

Allow us to enhance your smile both aesthetically and from an oral health standpoint as well with invisible braces!

Dental Implants vs. Dentures and Bridges

Whether it was during a consultation in our office or perhaps while you were doing your own research online, you have probably come across the term “dental implant” at some point. A dental implant is a great way, often the best way, to replace a missing tooth.

Dental lmplants vs DenturesSo how do you decide if a dental implant is the right path for you, or if a more traditional tooth replacement method such as dentures or bridges is the best way to go?

We have been asked this question many times, and have compiled a comprehensive breakdown of the benefits that implants offer over their conventional counterparts. We hope that this guide will help make the decision process easier for you.

Dental Implants vs. Dentures and Bridges: Things to Consider

  • Longevity: Dental implants offer a long-term solution (often lasting a lifetime) to missing teeth, while dentures and bridges require replacement every 5 to 10 years. Not only does this mean less hassle, it also means that implants may be more affordable over time.
  • Quality of Life:
    • Simply put, dental implants look, feel and function more like natural teeth than do dentures and bridges.
    • With a dental implant, our patients can hardly notice the difference when biting into hard objects. They also look more natural.
    • In addition to that, dental implants are fixed – they are not going to fall out while you are talking or smiling, and you don’t have to put them away each night when you go to sleep. They remain in your mouth, anchored to your jawbone at all times.
  • Bone Stability and Health: Just like muscles, bones also need a “workout” in order to maintain their mass and health. So when a tooth is missing from the jawline, the bone underneath the old tooth site becomes atrophied and shrinks. Dentures and bridges do nothing to help this deterioration. However, dental implants actually screw into the bone and integrate with it, actually encouraging new bone growth.
  • Overall Health: Because implants allow for a normal range of food choices in the diet (a benefit not afforded by dentures), they encourage you to continue your healthy lifestyle for the rest of your life!

Do you still have questions? As always, we are here to answer any questions you have. Give us a call for more information!

Teeth Whitening: At Home vs In-Office Treatments

Over the last decade, at-home tooth whitening systems have become more abundant, more varied, and more affordable. A quick walk through your local drug store is all you need to do to know that there is an endless supply of teeth bleaching treatments that you can do at home to achieve a whiter smile.

Teeth Whitening At Home vs In OfficeYou may be wondering, “If it’s so easy to access these products in a store, why would I want to spend the time and money to have my teeth whitened in my dentist’s office?”

Here are the top five reasons that we recommend that you come see us first if you are interested in whitening your smile:

  1. Whiter whitening: Over the counter bleaching products can only contain 10% peroxide, while our in-office treatments can contain 25-40% peroxide, offering a whiter white!
  2. Quicker: The higher concentration of peroxide combined with other safety and acceleration tools like lasers allow us to whiten your teeth much more quickly than can be done at home.
  3. Fewer Side Effects: At home, some people experience damage to the tooth or surrounding gum area when whitening their teeth, causing pain or sensitivity. By contrast, in the office, we have access to preventative tools that can protect your gums and teeth from damage from bleaching.
  4. Always Examine First! It is always wise to have an oral exam prior to your whitening procedure, as we can detect potential problems, areas that are prone to sensitivity, and even help you choose your best path to a whiter smile.
  5. Best of Both Worlds: If you still want to try at-home treatments, give us a call. We can send you home with approved whitening treatments to give you the protection, convenience and the whiter smile that you desire.

Dental Implants: What Should I Believe?

Dental Implants have become commonplace, with over 3 million people worldwide hosting some sort of implant. Unfortunately, their rising popularity has been accompanied by an increasing number of misconceptions about what they can and can’t do.

Dental Implant FLet us help you to understand which of these common messages are true and which are fabricated.

Message #1: Dental implants are more expensive than traditional restorative methods.

Verdict: True and False. While the initial implant installation is more costly than other dental restorative procedures, over time, maintaining dental implants is much easier and cheaper. Other procedures require eventual replacement. For example, dentures require replacement after 5-10 years while dental bridges must be replaced every 7-10 years. So in the long run, dental implants can be less expensive than these alternative procedures.

Message #2: Dental implants are exceedingly painful.

Verdict: False. Like most forms of oral surgery, dental implant installation does involve some discomfort. However, patient accounts reveal that the pain is not worse than any typical tooth extraction as doctors use local anesthesia to address and minimize any discomfort during the procedure.

Message #3: Dental implant placement often fails.

Verdict: False. While dental implants do have the possibility of falling out, it is very rare for this to happen. In fact, reports show that 98% of dental implant surgeries are successful.

Message #4: Only young people should get dental implants.

Verdict: False. There is no reason healthy, elderly patients cannot receive implants. In fact, there are many cases of patients 90 and older undergoing dental implant placement surgery with great success!

Don’t let these common misconceptions get in the way of your decision to get dental implants. Give us a call…we’d be happy to discuss your concerns about dental implants with you to give you a better idea of what this procedure can do for you.

Calming Your Nerves Before Dental Procedures

Almost everyone has some feelings of nervousness when thinking about visiting the dentist. We hear it all the time from our patients. But don’t worry (I know, easier said than done). It is totally normal to have a bit of anxiety (or even a lot of anxiety) before you come to our office.

Sedation 4In our office, we have many years of experience in dealing with nervous patients. So to help you out, we’ve compiled this quick yet effective set of tips for dealing with those inevitable nerves before your dental procedure.

  1. Let us know! Sometimes just saying the words, “I’m a little bit nervous” can help by normalizing the nervousness itself a little bit, which instantly releases some of that stress that has the tendency to build up in your system. It also alerts us, which is great! In fact, we might just be able to help by doing procedures a little bit differently than we normally would or even just by offering some words of encouragement and reassurance.
  2. Music – Ask us to turn up (or down) the music in your exam room if that helps. Or, depending on the procedure, you may even be able to listen to your own MP3 player while we work away. Ask us ahead of time to be sure the procedure will allow for this.
  3. Breathe – Did you know that consciously taking a breath instantly calls to action your parasympathetic nervous system which is the part of the brain responsible for calming you down? The good news is that you always have your breath with you, so don’t forget to use it! Just by paying attention to your breath, for example, how it feels coming in and going out and the other sensations it creates, you can access the calming center of your brain. An easy breathing exercise that can be used anytime, anywhere, including in the dental chair is to breathe in for 4 counts, then out for 4 counts.   You will instantly feel better.

We hope you find these tips helpful in dealing with your dental fears. Just remember, you are not alone.

Dental Implants: Five Things You May Not Know

How much do you know about dental implants? With the increasing popularity and availability of dental implant surgery worldwide, patients are gaining more and more knowledge about dental implants every day.

But did you know these five important facts?

  1. Dental Implant eEarly replacement of missing teeth with dental implants preserves the underlying bone structure.
  2. The titanium post actually fuses (osseointegrates) with the natural jawbone. They grow together to form a stronger foundation for replacement teeth. So dental implants actually improve the bone structure in the jaw, they don’t just fill it in.
  3. The “dental implant” is actually just the titanium post, one of three parts of the whole process. Other parts used in the full procedure that we think of as “dental implant surgery” are known as the abutment (the connector) and the actual replacement tooth itself (the crown).
  4. Dental implants preserve jawbone, whereas other teeth replacement options can lead to bone deterioration. Bone is similar to muscle in that it must be used in order to maintain its mass. When a tooth goes missing and the site is left untreated, the jawbone underneath tends to deteriorate. Dental implants eliminate this problem by securing a natural-like tooth right into the jawbone and thus utilizing (and preserving) that area of bone.
  5. Dental implants protect their neighbors. By contrast, a traditional, tooth-supported bridge involves the grinding away of the teeth on either side to act as a hammock for the bridge. With dental implants, the jaw is the anchor and support for the artificial tooth.

The bottom line? Dental implants offer a safe and manageable alternative to traditional tooth replacement methods.

Traveling and Oral Health: Tooth Tips for the Holidays

We don’t have to tell you: the winter holidays mark one of the busiest seasons of the year. With shopping, parties and vacations jam-packed on the calendar, it’s no wonder that many people take shortcuts when it comes to oral health maintenance during this time. If you are traveling during the holiday season and you want to avoid a January surprise cavity (or worse), here are some simple tooth travel tips to help you keep your smile intact.

  1. TravelDon’t leave home with a toothache! If you suspect you have any lurking problems in your mouth, schedule an appointment prior to your travel date so that you don’t end up with a tooth emergency while out of town. Research emergency dental clinics in your destination city and have those numbers handy to ensure that your time off is as relaxing as possible.
  2. No one ever regrets buying travel-sized gear. Keeping a travel toothbrush, floss and toothpaste on hand in addition to trial sizes of your favorite toiletries reduces your packing time, and not just during the holidays.
  3. Splurge on probiotics! Diseases and germs run rampant in buses, airports and other communal places that you might encounter during your trip. Researchers believe that probiotics are not only good for the gut; they may help maintain optimal oral health too!
  4. Toothbrushes don’t last forever! Generally, dentists recommend that you buy a new toothbrush every two to three months when at home. However if you are traveling, your toothbrush is exposed to even more bacteria. It’s best to toss it when you return home and swap it for a fresh brush, even if it hasn’t hit the three-month mark yet.
  5. Chewing gum is a limitless oral-health-on-the-go tip! Bringing sugar-free gum with you has multiple benefits; not only does it taste good and make your breath smell fresh, but the gum can help remove food that may be stuck in your teeth as well, acting as a secondary toothbrush.