March 2016 - Dentist Office in Arlington, Bedford, Burleson, Dallas, Desoto, Farmers Branch, Grand Prairie, Lake Highlands, Lancaster, Terrell

Dental Cosmetics

Cosmetic dentistry 3Dental Cosmetics – All You Need To Know About It

The term itself:

Most people tend to confuse cosmetic dentistry with restorative dentistry, and while both tend to get your teeth back to a functional shape, cosmetic dentistry ends up needing much more finesse and expertise, due to the fact that the work deals with aesthetics and the individual views on beauty. A cosmetic dentist will take care of the minutest details, like how much teeth would show in a smile. Among the things that a cosmetic dentist can do for you are the following procedures:

  • Teeth Whitening
  • Composite Bonding
  • Porcelain and Composite Veneers, Porcelain Crowns and Bridgework
  • Dental Implants
  • Tooth-Colored Fillings
  • Cosmetic Gum Surgery and Reshaping

Teeth Whitening and Tooth-Colored Fillings:

While you might be familiar with things like Teeth Whitening and Tooth-Colored Fillings, the first of the two, you are even able to do at home. it is notable to mention them, as they are standard procedures nowadays that help your teeth become even more attractive. While you can do Tooth Whitening at home, you can get the Tooth-Colored Fillings at the dentist’s, only. They cannot even be seen, due to the color that is exactly like that one of the tooth.

Porcelain and Composite work:

If your tooth gets damaged, you might want to get some Composite Bonding where resins are used to restore the chipped tooth to its healthy state, both aesthetically and from the perspective of strength. Veneers and Crowns are used to repair teeth in a worse state than just chipped, and they also help restore that symmetry to your smile, not to mention the white color that shines so bright, Crowns being a bit more expensive and durable, too. Bridgework is necessary to help close the gap between two teeth and a missing one. Similar results you could expect from a Dental Implant, as it helps your smile stay nice, and it keeps the mouth from dropping, too.

Cosmetic Gum Surgery and Reshaping:

Sometimes, people want to make their gum more attractive and better shaped, so they get surgery, painless, of course, due to modern technologies, as well as sedatives. Furthermore, if you do not like the shape of your teeth, or the length, this procedure is the right one for you, and you should know that Bonding and Reshaping usually go hand in hand.


Choosing the right Cosmetic Dentist:

It is important to do your homework and investigate the level of cosmetic dentistry experience for each cosmetic dentist you consider before setting up a consultation appointment. You may want to ask if the dentist is skilled in providing full mouth reconstruction, or if he/she refers patients to another specialist if such treatments are needed. You may also want to ask if the cosmetic dentist is a member of the American Academy of Cosmetic Dentistry, which requires adherence to rigorous study, ethical standards and examination to qualify as an accredited member.

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Halloween is Here – The Do’s and Don’ts


The Monsters of Halloween should not Get Your Teeth

Halloween is a very popular holiday, one where you can find candy everywhere, and I do mean everywhere, no matter if you are trick or treating, or if you are just going to someone’s place for a visit, you’ll likely find candy on the table, or near the door, or everywhere around you.

This usually means sugar, and not just any kind of sugar, but mostly industrial sugar, which can really do damage to your teeth, especially if you do not brush or floss, or wash away with an apple after enjoying a treat of sweets. Adults may have the mindfulness to take care of their teeth, but children will often neglect them in hopes of stuffing as many as they can in their mouths.

There are a couple of things you should be vary, both for the sake of your own health, and that of your children:

  1. Sticky vs Hard Candy – Most people think that sticky candy can do a lot of damage, because parts usually remain after it has been eaten, to attack the enamel of the teeth, and they would be right, but hard candy can be as damaging. Just imagine a lollipop melting in your child’s mouth for a prolonged time, giving those sugars everything they need to properly attack your child’s teeth. Having a sip of water every once in a while, helps countering the effect of the candies, and timing them with a meal also helps, because the added production of the saliva makes for a very nice mouthwash, even after sweets.
  2. Chewing gum – It is a frequent sidekick to the candies, but chewing gum does not need to be dangerous, as it can be packed with fluoride, and sweetened with juices approved by the American Dentist Association, thus making for a very nice tool to clean both your teeth, and that of your children, while at the same time having the effect a candy would.
  3. Avoid sugary beverages – Sports drinks, soda, and flavored beverages are all full of sugar, and that can do wonders for the tartar and the plaque that really does nothing but destroyed your teeth. Avoiding them is recommended, and drinking water instead is ismedicine encouraged.
  4. Choose your candy! – It is not that difficult to find candy that is sugar free, especially if they are sweetened by stevia, a plant that has a rather sweet taste, so its extracts are used to make everything sweeter, without the painful effects of sugar. Stevia and other artificial sweeteners are not fermentable sugars, their structures closely resembling proteins, thus making them good substitutes for food with industrial sugar.
  5. Brush and brush again – It has not been said enough times, so we might as well repeat it once again. Brushing is the key to keeping your teeth safe, and of your children. If your child is younger than 8 years, you should brush their teeth, and you should make it a fun activity, maybe adding a song, or a story every time, so that they build positive habits. Brushing will remove any tartar and food remains, making your mouth a very nice place for your teeth to live in.

Make this Halloween a much more comfortable one, without the fear of having to visit your dentist for an emergency, or any other kind of unpleasant visit. Follow the simple rules and take care of yourself, and your children.

Breastfeeding and Infant Oral Health


Mother breastfeeding baby

Breastfeeding is one of the most important decisions a mother can make. It can help your baby develop antibodies especially in the first six months of life, thus preventing infections, reducing health risks and obesity. It can also have an impact on the dental health of both the baby and the mother.

New studies have shown that breastfeeding in the first 6 months helps with developing healthy dental arches and babies are less prone to develop crooked teeth and malocclusions.

Babies and teeth growth:

The teeth begin to form when the baby is still in the mother’s womb. It happens, therefore, that every newborn, from the first moments of life has already in his gums the future teeth. To see them grow, however, we must wait several months. The first teeth appear, in most cases between the sixth and the eighth month, but this is not necessarily true for every case.  It is normal to see children 4 months old and already teething, while others may have to wait until the 17th month.

Can breastfeeding cause cavities?

Breastfeeding will not cause caries on its own even if the breast milk, just like formula, contains sugar. During the night babies produce less saliva and the residue of milk can cause increment in the activity of bacteria responsible for cavities. Therefore cleaning you baby’s mouth as soon as possible after feeding is a paramount, even if the baby doesn’t have teeth.

What to do and how to clean your baby’s teeth and gums:

– If you can, take your baby to a pediatric dentist before his/hers first birthday to receive the information about the preventive measures to avoid caries and to get general information about infant’s oral health.

The American association of pediatric dentists – Chicago, suggests that parents should gently clean infant’s gums and teeth after breastfeeding.”

–  You can clean the babies’ gums with moistened gauze, cloth or a silicone rubber.

Cleaning children’s teeth is not usually a favorite activity medicine20 for either parents or children, but insisting on cleaning a child’s teeth is less invasive than the alternative: dental work to repair cavities.

When the first tooth comes in, a soft toothbrush should be introduced. Some children will resist and using humor and novelty to encourage cooperation is needed.


  1. The first aspect of prevention is for all family members (particularly the mother) to practice good oral hygiene.


  1. Avoid giving sugary drinks to the baby.


  1. Do not taste the same spoon with which you give your baby food. The mouth of the infant is initially sterile, non-colonized by microorganisms that can be directly transmitted from mother to child with wrong habits.


  1. Disinfect the pacifier that has accidentally fallen to the ground.


  1. Help children in cleaning their teeth, especially very young children under the age of 7.
  2. After the eruption of the first teeth, clean all tooth surfaces and gums according to the instructions of the dentist, first without the use of toothpaste, which can be unpleasant to the child, later do it with a little toothpaste just so as the child can appreciate the feeling of freshness.


Aging and Dental Health

upcc-elderly-couple-smiling-embracingDental Health and Aging

When people start getting older, their body goes through a variety of changes, and the mouth and the teeth, as well, are no exceptions. With that in mind, the quality of oral care degrades with age, mostly due to other health problems that take precedence. That can lead to a very bad situation in the mouth, where most of the teeth would end up being extracted or being in a terrible condition with root and coronal caries. Thankfully, though, much of this can be avoided if a person just has in mind the following simple tips to taking care of your teeth as you age:

Get rid of bad habits like smoking and alcohol:

While smoking and alcohol affect your health, overall, and can get you to have some unpleasant side effects like cancer and brain damage, it can also stain your teeth, both the alcohol and the cigarettes. There is a good reason that dentists do not want you doing these things, and if you do, then always remember to brush frequently.

Brush and floss frequently:

It has been said so many times now that people have grown tired of it, but, brushing is one of the primary ways of keeping your teeth healthy, as it gets rid of the entire food residue that might end up casing stains and damaging the enamel. Flossing, too, helps, especially with those tricky bits of food that are otherwise impossible to get out with the tooth brush.

Take care of your dentures, too:

Though it is considered possible to end up with your own natural teeth, most people wear dentures, due to losing teeth or having them extracted. Much like with your own teeth, you need to take your dentures out, daily, and brush them, too, as bacteria and food residue tends to get ismedicine stuck there, too.

Drink a lot of water, preferably tap water:

This has also been said many times, both as a reminder to keep your bodily fluids circulating, to get rid of any toxins, and as well as to help clean the mouth of residue. What is more, tap water nowadays has fluoride in it, an amount which is considered to be necessary for people to keep their teeth, that is, the enamel of the teeth, healthy.

Visit your dentist frequently:

As people age, their teeth become much less sensitive to caries and other diseases, due to the nerve endings in the teeth becoming less sensitive, which could lead to further problems. There is also the matter of xerostomia, which is the dry mouth, something that over 40% of people above the age of 65 suffer from. As some of the elders are disabled or have some other problems getting to the dentist, their loved ones should help them regularly with that important task. With the care and advice of a dentist, even xerostomia could be treated, so that your elderly loved one can have a pleasant smile and healthy teeth and gum, that’s why frequent visits to the dentist are recommended.

Tooth Extraction – Facts for Comfort

tandarts_voor_kinderenTooth extraction:

It has happened to all of us, child or adult. We all have experienced tooth extractions. A tooth extraction, is the most traumatic dental appointment there is. It is a scary thought to have our teeth pulled out, but consider that dentistry has evolved over the past few decades and with the development of local anesthetics and improved dental extraction techniques, pulling out a tooth nowadays is relatively painless. If you’re worried about the appointment, my advice is to have some sedative medication.

Why tooth extraction?

Dentists usually perform tooth extraction as the last resort and even if you take all the necessary steps to keep your teeth healthy, sometimes, it might not be enough. There can be several reasons for tooth extraction: decay, trauma to the tooth, need for other orthodontic procedures or infections.

 The procedure:

There are two types of extraction procedures:


  • Simple extraction – It is where the tooth which is going to be pulled out is visible and the dentist proceeds to loosen the tooth with an instrument and uses forceps to remove it.


  • Surgical extraction – It is usually done on impacted or not easily accessible teeth (still partially or completely cover by the gum), or teeth that may have been broken off at the gum line or have not erupted yet. The surgical extraction requires a careful and precise preliminary incision of the gum, which is essential in creating an entrance, enabling an easier access to the tooth. Wisdom teeth, if problematic, can be divided into several sections to facilitate the extraction.


The surgery is performed usually under local anesthesia which can be applied for the simple extraction, too.

After procedure tips for speedy recovery:

  • You will be biting on gauze while you are waiting. This keeps pressure on and helps in stopping the bleeding.
  • Sit still for a few minutes immediately after the appointment. You want to be sure that a blood clot has formed before you get up, because you could provoke bleeding.
  • After you leave the office, you should be somewhat still, about without straining activity.
  • For pain, after a simple extraction, you should take Tylenol, ibuprofen or another over-the-counter pain remedy.
  • There may be swelling afterward, especially after extensive surgery. Swelling occurs the first day and then usually peaks the second day.
  • Put ice packs on your face to reduce swelling.
  • Eat soft and cool foods for a few days.
  • Start the day after surgery, swish with warm salt water. Use half a teaspoon of salt in a cup of water.
  • Don’t smoke and use a straw after surgery.
  • Make sure that you drink plenty of non-alcoholic beverages.
  • Use a pillow to raise your head while sleeping. It reduces the accumulation of fluids.


If you have any concerns, or if you don’t feel well, call your dentist’s office and ask for advice.

Once you decide to have a tooth removed, consult your dentist as to what you need to do to replace the missing tooth.

5 tips for improving your child’s smile!

Perla Dental Children's Dentistry

Smiling at people is one way of showing them our love. There is no better way to convey love and happiness and no one can resist a child that smiles openly and with delight.

Yellow or brownish teeth can make your child shy and uncomfortable, but these problems are quite common nowadays. This issue can easily be dealt with by following some simple oral hygiene rules.

In today’s fast paced world maintaining hygiene and dental health is an issue. Stains on your child’s teeth are an unpleasant problem that can be caused by many different factors. Having a dental exam is the first step that will allow you to determine the causes of the stained surfaces and whether there is a need for treatment or not. After the possibility of a cavity has been ruled out, you can proceed in the search for other causes of staining problem.

External stains on the surface of your child’s teeth are usually caused by food and sugary drinks and can be easily removed with a thorough professional dental cleaning. It is of great importance to deal with the problem early on so your child can avoid the formation of cavities. Remember that pretty and white teeth are what makes us seem healthier and attractive. Here are some tips to improving your child’s smile so they can smile freely and confidently:

  1. Wash your teeth regularly after every meal and do it visit this together, it is more fun that way. Put some music on and wash with the beat! Children learn by example, words are not enough, show them how to do it properly.
  2. Talk with your child about oral health. It can be rewarding for both you and your baby and it pays on the long run.
  3. Tell your child that the visit to your local dentist is not necessarily scary. It can be painless and if the dentists play along it can also be a sort of a game for them.
  4. Avoid some of the foods that can provoke cavities or eat them less. If you have something sweet, try to eat or drink it with a meal to limit the exposure time to your teeth.
  5. Start flossing with your child, as well, as that could be a fun task, as well as a necessary one, as flossing helps remove any and all plaque that you might have missed by brushing. Regular flossing will remove the possibility of tartar forming, which would make both you and your child smile frequently.

As Saint Valentine is approaching, the best way to greet someone you love is by showing them your pearly whites, so be sure that you follow these simple steps to avoid having a yellowish smile, for both you and your child. Although dental hygiene is important, remember that having fun while cleaning your teeth is just as fun. Having fun ensures that your children continue to keep up good dental habits such as brushing and flossing!


Be At Ease Without Gum Disease


Gum disease, What is it?

Gum disease is an inflammation, also known as periodontal disease, that can advance if not treated and progress to affect the bone. Your oral health is critical to your overall health and gum disease has been linked to an increased risk of heart disease and stroke.

There are 3 stages of the gum disease:

  1. Gingivitis – Is an inflammation of the tissues surrounding and supporting the teeth and characterized by red, click swollen gums that bleed easily when teeth are brushed or flossed. It is also reversible with proper treatment.
  2. Periodontitis – Is the stage where the gum and bone recede and form pockets where residue of food can be accumulated and afterward create plaque, which presents the main cause of gum inflammation.
  3. Advanced Periodontitis – A stage of a severe gum damage, when there is no longer an anchor for the teeth and they get wobbly and loose. The result is usually a tooth loss, therefore, it is very important to catch and treat gum disease as early as possible.

The gum inflammation may pass unnoticed at first. It can form around teeth in the back of your mouth where you can’t see it. It is a dentist or a periodontist that can determine with certainty if you have some degree of gum disease.

A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease, and in the placement of dental implants.

What are the causes?

Gum disease is mostly caused by improper oral hygiene. It allows bacteria in plaque to settle on the teeth and infect the gums. But there are other factors that increase the risk of developing gingivitis like:

  • Smoking
  • Crocked or overlapping teeth
  • Stress
  • Poor nutrition
  • Medications (antiseizure medications promote gum disease)
  • Diabetes Mellitus

 How can patients avoid the gum disease?

Gum disease is best prevented through oral hygiene and plaque control. This involves:

  • Regular brushing of your teeth at least twice a day and flossing.
  • The use of electronic tooth brushes tend to make it easier to remove plaque and using a mouthwash after flossing and brushing your teeth also can help reducing the bacteria that cause gingivitis.
  • Eating a balanced and nutritious diet
  • It is a good practice to have regular, professional deep cleanings by your dentist or hygienist.


The goal of gum disease treatment is to control infection and to arrest its progression.

Treatment options involve good nutrition, and proper brushing and flossing that can control the growth of harmful bacteria and in advanced paradentosis even surgery to restore supportive tissues.

Antibiotic Therapy can be combined in various ways to help treat gingivitis. There is also chlorhexidine. It is an antibiotic mouthwash that can be used under direction of a dentist to help reduce the bacteria. Antibiotics in the form of pellets can be placed in deep gum pockets to kill stubborn bacteria. Additional treatment such as xylocaine and NSAIDs may be needed for pain control in chronic gingivitis.

Good Dental Health Can Help Prevent Breast Cancer


Breast Cancer and Dental Health?

Every year, in the United States, at least 1 woman in every 8 will have breast cancer. That amounts to a lot of women, and the problem does relate to health neglecting, especially by smoking and drinking alcohol, but the surprising factor may be that oral health has been connected to breast cancer.

A recent study has proven that women with chronic gum disease are at a higher risk of developing breast cancer. Another study, performed by the World Health Organization, conducted between 1985 and 2001, has also complemented the results, connecting gum disease and breast cancer.

The Cause of Gum Disease

Gum disease is a rather annoying disease that affects the gums, as well as the bones of the teeth, and its main cause is bacteria that manifests itself as plaque. That plaque is formed by the remains of food and can be found on your teeth and between them, as well as on the gums, too. Daily removal not only helps in keeping your teeth healthy from other factors, but it also removes the plaque. That means catching more fish with one hook, and you only need to floss and brush daily.
The first sign of gum disease is inflammation, which you can notice by the redness of the gums, as well as bleeding while brushing. Immediate action should be taken, because further development of the disease could lead to severe inflammation, which then affects the teeth, causing bone loss, and the requirement of teeth removal.

If breast cancer is already present, and you have been prescribed chemotherapy or radiation as the preferred treatment, the repercussions could be severe and include many of the following side effects in your mouth:

  • Difficulty in swallowing
  • White cell loss, leading to higher risks of teeth and gums infections (this can also cause difficulties in any invasive procedures in the mouth, as well as teeth extraction)
  • Oral yeast infection from the bacteria known as candida
  • Taste alterations
  • A deep, aching pain, one that mimics toothache

If any of the previously mentioned symptoms start occurring in your case, you should go to your dentist immediately. But, there are ways to go around this, that is, to still have a positive effect on your teeth, you would only need to be a bit more careful, and should follow the following recommendations:

  • Brush with a rather soft toothbrush, being quite gentle with the with your gums, which goes as well for flossing
  • Use a mouthwash that is free of saccharin and alcohol, but, make sure that it contains xylitol
  • If your white blood cells results return with a low count, stay away from dental treatment for a while, especially any invasive procedures, which you should also do for at least a week, after chemotherapy

A Healthy Mouth for a Healthy Body

Be sure to keep your mouth healthy, to visit your dentist regularly and to floss and brush on a daily basis, especially after meals, and you will reduce the risk of further dental problems, and breast cancer, too. Not every visit to the dentist has to be a painful one, even more so if you take care of your oral health, by following the tips written above.

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Dental Emergencies

emergency 4Dental Emergencies – How and What

Having a dental emergency is probably one of the scariest things that can happen to a person, not to mention one of the most painful ones. To solve those emergencies, it is of the most importance to get in touch with your dentist as soon as the emergency has happened. In case of some moderate to severe injuries, there are other things that need to be performed, but, here is a few of the most common ones, and the scariest ones, among other things, along with tips on how to handle the situations.

A tooth is pushed out of position:

Here you should attempt to put light pressure to your tooth to try and put it back in place, but nothing stronger than light. You should also bite down, so that the tooth is kept in place as much as possible while you are on your way to the dentist.

A tooth is knocked out:

When this happens, you should get in touch with your dentist for an immediate appointment, and always handle the tooth by the crown, and not the root. Handling the tooth by the root might lead to the root cells being damaged, and that would have a bad impact on reattaching the tooth. You should gently rinse the tooth to remove any and all dirt if possible, but restrain oneself from scrubbing it. If it is not possible to store the tooth in the mouth of the injured, then you should store it in a gauze and immerse it in milk or saliva, as it is of the most importance to keep it from drying.

A tooth is fractured:

Rinse the mouth with warm water and keep ice on the injured part as to reduce swelling. Remember to use ibuprofen and not aspirin, for the pain, as the aspirin has anticoagulants which might make the bleeding worse, if there is any, and that goes for all the cases of tooth injury.

If tissue is injured:

If it happens that the gum is injured, not to mention the cheeks and the lips and the tongue, no matter whether those are lacerations of puncture wounds, the wound itself should be cleaned right away and the injured person taken to the hospital emergency room, immediately if possible. Bleeding from the tongue lacerations can be stopped by pulling the tongue forward and applying pressure on the wound.


Although it is difficult to be prepared for a tooth injury, mostly due to you never knowing when might occur, it is smart to do so, and these things are easy to carry and have by your side most of the times. You will need the dentist’s home and office numbers, a handkerchief and a gauze. You will also need a small container with a lid, as well as ibuprofen, and not aspirin, because of the reasons mentioned enough.

Digital Dentistry


Why digital?

The short answer would be because it is much better and faster than the older technology, and the long answer, well, that needs some further explaining. The digital world has been here for quite some time, already, but, in the case of dentistry, things have been much slower when it comes to the adaptation to the already existing technology that not only makes the process of diagnosing problems faster, but that much easier and less painful for the patients. Let us dive into some of the procedures and things that make the digital approach favorable.

What is exactly digital dentistry?

While the term digital serves the purpose of describing a very wide set of things, in this case, it refers to the broad scope of equipment that uses digital or components that are controlled by a computer, as opposed to this link those that have only electrical components, and mechanical ones. The broadest idea that is associated with digital dentistry is the computer aided design and computer aided manufacturing, but, there are more benefits to the digital approach, and here is a list of them, with brief explanations:

  1. CAD/CAM and intraoral imaging – with two possibilities, both laboratory and clinician controlled
  2. Caries diagnosis – very fast and reliable
  3. Computer aided implant dentistry – it also includes the design, as well as a surgical guide
  4. Digital radiography – both intraoral and extra oral, which also includes cone beam computed tomography (CBCT)
  5. Electric and surgical implants
  6. Photography – again, both extra oral and intraoral
  7. Practice and patient record management – which includes digital patient education

There are many more procedures and benefits of the digital approach, but it would be quite a long list if all of them were to be specified. With more innovations on the horizon, dentistry has become quite and exciting profession, given that there are more and more things for a dentist to look forward to, as all of them are there to make the process easier, quicker, safer, and what is the most important thing, both for the patients and the dentists themselves, more enjoyable.

The transition to the digital world:

While the digital approach has so many benefits, starting from the simple innovations, people are really slow to adopt them, and the biggest chasm in the further development of dentistry lies right there, between the innovations and people adopting them. Even simple things like zirconia crowns and air rotor hand pieces have been widely introduced to the world of dentistry much later than they were invented. It has been estimated that it takes about 25 years for the new technology to be adopted, and with that in mind, it seems that digital dentistry is actually 25 years behind the schedule, especially compared to some of the other departments, and mainly because the initial investment is expensive, but it is well worth it.

The future is here to be embraced:

And while the cost of the new equipment might be a bit more than people could cope with at the start of their careers, it is an investment worth doing, as it brings comfort, safety, ease of use and practicality, as there is already so much new technology that dentists everywhere should implement, as it would make both theirs and the lives of their patients, that much better. Embracing the changes is the first step on the road to digitalization, and a brighter future.