Dr. Dezham
Dr. Dezham is inspired by the desire to help you achieve optimal health and provide you with the absolute best that dentistry has to offer.
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2131 Capitol Ave
Suite 100
Sacramento, CA 95816
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Archive:
- 2019
- January (7)
- Attention to Detail Crucial to a Beautiful Smile Supported by Dental Implants
- Healthy Smiles for Alfonso Ribeiro and Family
- 3 Things You Might Notice with Your Child's Teeth That Need a Dentist
- A Bonded Retainer Could be a Preferred Choice over a Removable One
- Less-Invasive Pulp Capping Could Save Your Tooth
- Bobby Bones Dances His Way to Dental Damage
- A Root Canal Treatment can Save Your Tooth and Relieve Pain
- 2018
- December (6)
- Orthodontists Anticipate Future Facial Growth When Treating Poor Bites
- Bitewing X-Rays Safely 'Reveal all' About Back Teeth to Prevent Tooth Decay
- J-Lo's Unlucky Break: Chipping a Tooth on Stage
- Advanced Equipment and Safe Practices Ensure X-Ray Safety for Children
- Don't give up on Flossing!
- Wisdom Teeth Warrant Close Watch to Avoid Future Health Issues
- November (6)
- NBC Star Delivers a Message about the "Perfect" Smile
- Dentures are Still a Viable Choice for Tooth Replacement
- 4 Reasons Why You May Need to See a Periodontist for Your Gum Disease
- 4 Signs Your Child May Have a Poor Bite
- Steely Dan Founder's Death Highlights Importance of Early Cancer Detection
- Practice Caution with Energy or Sports Drinks to Protect Your Enamel
- October (6)
- Watch What Carbs You Eat to Reduce Your Risk of Further Gum Disease
- Stay Ahead of Plaque Buildup with Effective Brushing and Flossing
- Why Big Bang Theory Actress Mayim Bialik Couldn't Have Braces
- What You Should Know About a Home Teeth Whitening Kit
- Inflammation: the Link Between Gum Disease and Cardiovascular Disease
- 3 Factors That Could Affect the Success of a Root Canal Treatment
- September (6)
- Dental Injury Is Just a Temporary Setback for Basketball Star Kevin Love
- Don't Wait - Seek Out Treatment for Gum Recession Now
- See Your Dentist if You're Having one of These 3 Dental Problems
- It's National Gum Care Month - Take Care of Your Gums
- Margot Robbie Knows: A Great Smile Is Worth Protecting
- Not all Dental Crowns Share the Same Quality of Life-Likeness
- August (6)
- Veneers may Offer a Less Invasive Way to Transform Your Smile
- Take Care of Your Dental Appliance and It Will Take Care of You
- A Different Kind of "Chip Shot" for Pro Golfer Danielle Kang
- Have Your Loose Tooth Examined as Soon as Possible
- 3 Reasons You Should Consider Tooth Whitening
- Pros and Cons for Flossing Before Brushing and Vice-Versa
- July (6)
- Noah Galloway's Dentally Dangerous Dancing
- Practice Proactive Prevention to Enhance Your Child's Dental Development
- Tips to Brighten Your Summer Smile
- Replacing a Back Tooth May Help You Avoid Future Dental Problems
- Any Time, Any Place: Cam Newton's Guide to Flossing
- 4 Important Facts About Gum Recession and What You can do About It
- May (7)
- Baseball's Francisco Lindor Shines as "Mr. Smile"
- Assessing Your Risk for Severe Gum Disease
- 4 Things You Should be Doing Now for Your Baby's Long-Term Dental Health
- What to Do For Mouth Injuries Your Child Might Encounter
- Neil Patrick Harris: What the Oscars Host Treasures Most
- Bone Loss at the Roots can Put Your Tooth in Danger of Loss
- Why we Need to Care for a Younger Patient's Bone after a Tooth Loss
- April (5)
- Topical Fluoride can Enhance Your Child's Dental Care
- Julianne Hough Shares a Video - and a Song - After Wisdom Teeth Come Out
- If You're not a Good Candidate for Dental Implants, Consider Bridgework
- Keep Your Smile Beautiful...in April and Beyond
- 3 Things You Need to Know about Easing Anxiety Over Dental Visits
- 2017
- June (5)
- Not All Bacteria are Harmful to Oral Health
- Fifth Harmony's Camila Cabello Chips a Tooth, but Concert Still "Worth It"
- Screw or Cement: Which is Best for Attaching Your Implant Crown?
- Teeth Grinding in Older Children and Adolescents a Cause for Concern
- Dealing with the Reality of Increased Disease Risk with Braces
- March (5)
- Dr. Travis Stork: If Only I'd Worn A Mouthguard!
- Don't let Limited Finances Keep you From Needed Dental Care
- Antibiotics Before Implant Surgery Could Lower Infection Risk in Some People
- The Top 3 Oral Problems in America - and What You Should Do About Them
- How Kathy Bates Retains Her Movie-Star Smile
- 2016
- December (5)
- Transform Your Smile and Dental Health by Correcting Your Bad Bite
- Keep Ahead of Potential Sidetracks to Your Child's Oral Health
- Help 'De-Stress' Your Child's Dental Visits with these Tips
- Dwight Howard: A Bright NBA Star With a Smile to Match
- Non-Prescription Pain Medication can Manage Most Post-Procedure Discomfort
- September (5)
- 4 Things to Give Your Child a Head Start on Good Oral Health
- Treating "Burning Mouth" Depends on What's Triggering it
- Game, Set, Match: Milos Raonic Says A Mouthguard Helps Him Win
- Encourage Your Child to Stop Thumb Sucking by Age 4
- What's Causing Your Toothache? The Answer Determines Your Treatment
- July (5)
- Consult Your Dentist for Help with Diagnosing and Treating Sleep Apnea
- Master Illusionist Benefits from the Magic of Orthodontics
- Clear Aligners Reduce Risk for Developing Gum Disease Better than Braces
- Increase Bone Mass for Dental Implants through Grafting
- Teens Benefit Most from A Temporary Solution to Missing Teeth
- May (5)
- Dental Porcelain is a Great Option for Creating a Natural Appearance
- Even Celebrities Like Jennifer Lawrence Aren't Immune From Bad Breath!
- Home Whitening Kits are Safe and Effective, if Used the Right Way
- Root Canal Treatment Alleviates Pain and Saves Your Tooth
- Create a Strategy to Deal with Dental Problems to Avoid Future Expenses
- 2015
- January (5)
- It's an Art: Determining Tooth Color in Composite Resin Restorations
- Taking the Right Steps to Prevent Early Tooth Decay in Children
- Four Tips for Preventing Premature Loss of Baby Teeth From Tooth Decay
- Actress Florence Henderson Shares Her Secrets for Keeping Your Natural Teeth as You Age
- Test Your Knowledge: A Quiz on Dental Erosion
- 2014
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- celebrity smiles (60)
- sleep apnea (2)
- dental implants (19)
- dentures (5)
- dental erosion (1)
- oral hygiene (29)
- oral health (18)
- pediatric dentistry (15)
- tooth decay (9)
- fillings (2)
- dental exam (1)
- orthodontics (10)
- retainers (3)
- gum disease (20)
- root canal (6)
- blood pressure medications (1)
- medicine (1)
- x-rays (2)
- removable partial denture (1)
- bridge (2)
- porcelain veneers (5)
- smile makeover (1)
- cosmetic dentistry (12)
- tmj disorders (3)
- tmd (2)
- tmj (1)
- root planing (1)
- laser dentistry (1)
- dental specialists (1)
- ulcers (1)
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- braces (10)
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- orthodontic treatment (18)
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- crowns (5)
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- thumb sucking (4)
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- wisdom teeth (4)
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- bad breath (1)
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- clear aligners (2)
- snoring (1)
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- dental injury (8)
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- dry mouth (1)
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- nutrition (3)
- cleft lip (1)
- cleft palate (1)
- oral surgery (1)
- wedding day smile (1)
- tooth extraction (1)
- smoking (1)
- loose teeth (1)
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- bridgework (1)
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- tooth loss (1)
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- loose tooth (1)
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My Blog
It might not rise to the level of a miracle, but cosmetic dentistry can achieve some amazing outcomes with unattractive teeth. A skilled and experienced dentist can turn "ugly ducklings" into beautiful "swans." And that achievement might not be as in-depth or expensive as you might think, thanks to the increased use of dental materials called composite resins.
Composite resins are pliable, tooth-colored materials we apply directly to tooth surfaces. They're most often used with broken, chipped or misshapen front teeth—the composite material replaces the missing tooth structure.
Composite resins have been around for decades, but haven't been widely used because they didn't have the strength of dental porcelain. In recent years, though, dentists have perfected techniques for bonding and shaping composites to teeth that have increased their durability. With just the right skill and artistry, composites can look like natural teeth.
We can correct many tooth flaws using composite resins right in our office. After roughening up the outer enamel surface of the tooth and performing other steps to aid bonding, we begin applying liquid resins to form a base layer that we then harden with a special light source. We continue to add layers to increase the color depth and shape of the restoration, before finally polishing it to resemble natural teeth.
Composite restorations are ideal for moderate tooth structure loss, but may not be appropriate for heavily worn, previously root canal-treated or fractured teeth. These and other kinds of flaws may require a different solution such as a dental porcelain restoration with veneers or crowns. Where composites can be used, though, they provide an affordable option that doesn't require an outside dental lab for fabrication—we can often perform it in one visit.
If you'd like to consider a composite resin restoration for a less than perfect tooth, see us for a complete examination and consultation. If your situation appears to be compatible for using this particular technique, composite resins could change your smile for the better in just a few minutes.
If you would like more information on how we can improve your smile, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Artistic Repair of Front Teeth with Composite Resin.”
The Golden Globes ceremony is a night when Hollywood stars shine their brightest. At the recent red-carpet event, leading man Viggo Mortensen had plenty to smile about: Green Book, the movie in which he co-starred, picked up the award for Best Motion Picture—Musical or Comedy. But fans looking at the veteran actor's big smile today might not realize that it once looked very different. A few years ago, an accident during the filming of The Two Towers took a major chip out of Mortensen's front tooth!
That might be OK for some movies (think The Hangover or Dumb and Dumber)—but it's not so great for everyday life. Fortunately, Mortensen visited a dentist promptly, and now his smile is picture-perfect. How was that accomplished? He didn't say…but generally, the best treatment for a chipped tooth depends on how much of the tooth's structure is missing.
If the tooth has only a small chip or crack, it's often possible to restore it via cosmetic bonding. This procedure can be done right in the dental office, frequently in a single visit. Here's how it works: First the tooth is cleaned and prepared, and then a tooth-colored resin is applied to the area being restored. After it is cured (hardened) with a special light, additional layers may be applied to build up the missing structure. When properly cared for, a tooth restored this way can look good for several years.
For a longer-lasting restoration, veneers may be recommended. These are wafer-thin shells made of durable material (most often porcelain) that cover the front (visible) surfaces of teeth. Strong and lifelike, veneers can match the exact color of your natural teeth—or give you the bright, high-wattage smile you've always wanted. No wonder they're so popular in Hollywood! Because veneers are custom-made for you, getting them may require several office visits.
If a chip or crack extends to the inner pulp of the tooth, a root canal procedure will be needed to keep the tooth from becoming infected—a situation that could have serious consequences. But you shouldn't fear a root canal! The procedure generally causes no more discomfort than filling a cavity (though it takes a little longer), and it can help save teeth that would otherwise be lost. After a root canal, a crown (cap) is generally needed to restore the visible part of the tooth.
When a damaged tooth can't be restored, it needs to be extracted (removed) and replaced. Today's best option for tooth replacement is a dental implant—a small, screw-shaped post inserted into the bone of your jaw that anchors a lifelike, fully functional crown. Implants require very little special care and can look great for many years, making them a top choice for tooth replacement
If you have questions about chipped or damaged teeth, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Artistic Repair Of Front Teeth With Composite Resin” and “Porcelain Veneers.”
A root canal treatment is a common procedure performed by dentists and endodontists (specialists for inner tooth problems). If you're about to undergo this tooth-saving procedure, here's what you need to know.
The goal of a root canal treatment is to stop tooth decay within a tooth's interior and minimize any damage to the tooth and underlying bone. This is done by accessing the tooth's pulp and root canals (tiny passageways traveling through the tooth roots to the bone) by drilling into the biting surface of a back tooth or the "tongue" side of a front tooth.
First, though, we numb the tooth and surrounding area with local anesthesia so you won't feel any pain during the procedure. We'll also place a small sheet of vinyl or rubber called a dental dam that isolates the affected tooth from other teeth to minimize the spread of infection.
After gaining access inside the tooth we use special instruments to remove all of the diseased tissue, often with the help of a dental microscope to view the interior of tiny root canals. Once the pulp and root canals have been cleared, we'll flush the empty spaces with an antibacterial solution.
After any required reshaping, we'll fill the pulp chamber and root canals with a special filling called gutta-percha. This rubberlike, biocompatible substance conforms easily to the shape of these inner tooth structures. The filling preserves the tooth from future infection, with the added protection of adhesive cement to seal it in.
Afterward, you may have a few days of soreness that's often manageable with mild pain relievers. You'll return for a follow-up visit and possibly a more permanent filling for the access hole. It's also likely you'll receive a permanent crown for the tooth to restore it and further protect it from future fracture.
Without this vital treatment, you could very well lose your tooth to the ravages of decay. The time and any minor discomfort you may experience are well worth the outcome.
If you would like more information on treating tooth decay, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Canal Treatment: What You Need to Know.”
We've known for decades that fluoride strengthens tooth enamel and lowers the risk for decay. And while adding it to toothpaste and drinking water are the more common ways for getting it into the body, an increasingly popular way—especially for children—is to apply fluoride directly to the teeth.
But is topical fluoride really worth the effort and expense? And, are there any side effects to treating teeth this way?
As to the first question, researchers have performed numerous studies measuring fluoride's effectiveness for preventing tooth decay. The Cochrane Oral Health Research Group recently reviewed studies on topical fluoride applications involving nearly 10,000 children and adolescents between the ages of 2 and 15. The combined average for all the studies showed a 28% reduction in decayed teeth for patients who received topical fluoride compared to those who didn't.
This was especially true for children at high risk for decay: directly applying fluoride gels, foams or varnishes to teeth reduces that risk substantially. But there are also side effects to this application. Fluoride in general has only one known safety concern, a condition known as fluorosis. Too much fluoride over time can cause heavy discoloration of the teeth. This does not affect the health of the teeth, but it can look unattractive and require cosmetic treatment to reduce its effect.
There's little to no risk for fluorosis with the controlled treatments offered by dentists; the fluoride solution remains on the teeth no more than a few minutes. But there is a possible side effect during treatment due to the relatively high dose of fluoride used. If the patient accidentally swallows some of the solution, the concentration of fluoride can cause stomach upset, vomiting or headaches.
Dentists minimize the chances for this by usually using the more difficult to swallow varnish form of topical fluoride on younger patients, and using trays or other barrier devices to isolate the fluoride solution from the rest of the mouth. Under professional supervision, it's rare for an accidental ingestion to occur.
The risks for these side effects are quite low, and the benefits of topical fluoride for reducing the chances for decay can more than outweigh them. Fluoride applications are one of many ways we can protect your child's current and future dental health.
If you would like more information on decay prevention techniques like topical fluoride, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Fluoride Gels Reduce Decay.”
Installing dental implants involves more than the mechanics of placing them into the jawbone. Ultimate success — a natural and beautiful smile — requires painstaking attention to detail and artistry.
Here are a few of the factors we must consider to achieve a smile with dental implants you’ll be proud to display.
The amount of available bone. For the permanent crown to appear natural, it’s crucial to position the implant precisely. To achieve this precision requires an adequate amount of bone to be present. Unfortunately, bone loss is quite common after tooth loss; to minimize this we place bone grafts in the empty socket if at all possible after extraction to encourage bone growth. It’s also possible in some cases to perform bone grafting surgery before implants to build up bone volume.
Your genetic gum tissue type. There are basically two types of gum tissue people are born with: thin or thick. Thin tissues are more subject to wear, difficult to work with during surgery and can make it difficult to hide the metal components of an implant. Thicker tissues are easier to work with, but can have a tendency to overgrow.
Achieving a natural “emergence profile.” To look natural, the implant crown must appear to seamlessly emerge from the surrounding gum tissue. To achieve this, we must carefully plan and place the implant in the precise location in the bone, taking into account the implant shape and how far it should be placed within the bone to match the position and height of adjacent teeth and gum tissues.
Blending color shades with adjacent natural teeth. When it comes to color, everyone has subtle differences in tooth shades and hues. In fact, there are slight color variations within individual teeth, from the root to the tip of the crown. To make sure the implant blends in with adjacent teeth, it’s important to match the color incorporated into the porcelain crown with the natural crowns beside them.
These and other factors require both technical expertise and a sense of artistry. Carefully considering all of them will help ensure your dental implants result in the smile you want.
If you would like more information on smile transformations with dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Matching Teeth & Implants.”
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